Kylena White, RBT
Behavior Technician in Lynnwood, WA. Individual provider (NPI-1).
NPI number1114738176
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1114738176
- Entity type
- Individual (NPI-1)
- Name
- Kylena White
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2025
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | CB61581331 | WA | Yes |
Practice location
20818 44th Ave W Ste 270Lynnwood, WA 98036-7709
Phone 425-673-6905
Mailing address
11401 Bluegrass PkwyLouisville, KY 40299-2349
Phone 888-515-1793 · Fax 502-297-0289
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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