MR. KYLE GILMORE ROBERTS


Address: 15 Mystic St, Apt 3, Charlestown, MA 02129-1915
Phone: 6103247675

MR. KYLE GILMORE ROBERTS (NPI# 1356710255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356710255
Entity Type Individual
Full Name MR. KYLE GILMORE ROBERTS
Practice Address 15 Mystic St
Apt 3
Charlestown
MA 02129-1915
Practice Telephone 6103247675
Mailing Telephone 6103247675
Enumeration Date 2015-09-21
Last Update Date 2015-09-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 000689 NY Behavioral Health & Social Service Providers

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1366076077 Kyle Tracy Roberts Counselor 1245 Edison Dr, San Antonio, TX 78201-3601 2020-03-03
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1508032384 Kyle G Roberts Orthotic Fitter W314s2556 Penny Ln, Wales, WI 53183-9671 2008-05-01
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1083998736 Kyle J Roberts Anesthesiology 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 2011-09-29
1013148386 Kyle Timothy Roberts Physician Assistant 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2009-08-04

Office Location

Street Address 15 MYSTIC ST
APT 3
City CHARLESTOWN
State MA
Zip Code 02129-1915

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447875984 Charles Clifford Engel Jr. Psychiatry & Neurology Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 2020-06-10
1033738489 Boston Health & Wellness, LLC Physical Therapist 250 First Aveneue, #506, Charlestown, MA 02129 2020-04-15
1134693534 Martavia Richardson Behavior Technician 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 2019-01-18
1669940847 Erika Marie Lundgren Social Worker 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 2018-11-06
1558845602 Christopher Wayne Manzano Specialist/Technologist 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 2018-09-24
1023503216 Justin E Karr Student in an Organized Health Care Education/Training Program 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 2018-06-29
1184140162 Hakan Ay Psychiatry & Neurology Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 2017-08-21
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1003267964 Allison E White Student in an Organized Health Care Education/Training Program Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 2016-06-22
1588025258 Adrienne Senneville Physical Therapist 529 Main St., Charlestown, MA 02129 2016-03-09
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407455264 Jennifer Anne Espinal Behavioral Analyst 418 Centre St, Boston, MA 02130-5197 2020-10-22
1811596778 Jennifer L Lutton Behavioral Analyst 25 Fair St, Uxbridge, MA 01569-1511 2020-10-21
1730788753 Catherine Mumbi Behavioral Analyst 65 James St Ste 205, Worcester, MA 01603-1036 2020-10-21
1366040990 Konrad Syrek Behavioral Analyst 1472 Riverdale St. Suite A, West Springfield, MA 01089 2020-10-15
1770181497 Nancy Lee Taylor Behavioral Analyst 12 Uplands Rd, Littleton, MA 01460-1117 2020-10-14
1902404072 Early Steps Intervention Inc Behavioral Analyst 101 Billerica Ave, North Billerica, MA 01862-1271 2020-10-12
1861099335 Vanna Leang Behavioral Analyst 1472 Riverdale St, Suite A, West Springfield, MA 01089 2020-10-07
1215534755 Malakie Berry Behavioral Analyst 1472 Riverdale St., Suite A, West Springfield, MA 01089 2020-10-07
1477150399 Mighty Strides Behavior Solutions LLC Behavioral Analyst 549 Pine St Suite 19, Lowell, MA 01851-2336 2020-10-04
1669087227 Samantha K Wohlers Behavioral Analyst 3578 Chestnut Hill Ave, Athol, MA 01331-9216 2020-09-10
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Competitor

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City CHARLESTOWN
Zip Code 02129

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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