Kelly Gordon-wylie, LCSW-A

ActiveIndividual ProviderBehavior Technician
NPI issued: December 9, 2016

Quick Facts

NPI Number
1528502564
TypeIndividual
StatusActive
SpecialtyBehavior Technician
Taxonomy106S00000X — Behavior Technician
Phone
(910) 399-3755
StateNC

NPI Validation Status: Verified

Valid 10-digit NPI number (1528502564)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 9, 2016)
Data source: CMS NPPES

Provider Overview

KELLY GORDON-WYLIE, LCSW-A is a Behavior Technician provider based in Wilmington, NC who has been registered with CMS since 2016. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1528502564
Provider TypeIndividual Provider
GenderFemale
CredentialLCSW-A
StatusActive
Enumeration DateDecember 9, 2016

Practice Location

CityWilmington
StateNC
ZIP Code28412-6431
Phone(910) 399-3755

Specialties & Licenses

★ Primary
SpecialtyBehavior Technician
Taxonomy Code106S00000X
License StateNC

Mailing Address

CityWilmington
StateNC
ZIP Code28412-6431
Phone(910) 399-3755
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1528502564 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1528502564for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1528502564 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Behavior Technician

Behavior Technicians work under the supervision of a Board Certified Behavior Analyst (BCBA) to implement behavioral therapy plans, typically assisting individuals with Autism Spectrum Disorder (ASD) or other developmental delays.

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572,432
Behavior Technician Providers in the US

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People Also Ask

What is Kelly Gordon-wylie's NPI number?
Kelly Gordon-wylie's NPI number is 1528502564, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kelly Gordon-wylie's NPI currently active?
Yes, Kelly Gordon-wylie's NPI status is Active as of the latest CMS NPPES database updates.
What does Kelly Gordon-wylie specialize in?
Kelly Gordon-wylie specializes in Behavior Technician. The healthcare taxonomy code associated with this specialty is 106S00000X.
Where does Kelly Gordon-wylie practice?
Kelly Gordon-wylie practices in Wilmington, NC 28412-6431.
When was Kelly Gordon-wylie's NPI issued?
Kelly Gordon-wylie's NPI was issued on December 9, 2016.
What is Kelly Gordon-wylie's provider type?
Kelly Gordon-wylie is registered as an Individual Provider under CMS NPI Type 1.