Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609546456 Deactivated / Inactive NPI Female Practitioner

Kyra Kidd

Behavior Technician • Shelby Township, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kyra Kidd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2021
NPI Deactivation Date October 08, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Kyra Kidd was a registered Behavior Technician practicing in Shelby Township, MI. Throughout an active medical career spanning 1 years, Kyra Kidd provided care at the practice location at 13019 PAULINE DR until profile deactivation on 2021-10-08.

Practice Location & Contact Primary Location

Practice Address

13019 Pauline Dr

Shelby Township, MI 483153122

Telephone 5862079255
Fax 2484038506
Associated Practice Facility / Clinic
🏢 Bridges Spectrum Therapy Llc. Facility NPI 1154070118

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Shelby Township, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.1 Yrs
Regional Practice Density
243 Specialists

Practicing in Shelby Township, MI (63826 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-08
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Hailey Glowczynski

Behavior Technician

NPI 1013602259
Christian Marriott

Behavior Technician

NPI 1013610674
Courtney Selby

Behavior Technician

NPI 1013611888
Elizabeth Blondell

Behavior Technician

NPI 1013768167
Mirna Mikhael

Behavior Technician

NPI 1013891399
Samantha Irvine

Behavior Technician

NPI 1033983697

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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Updated Practice Location November 08, 2024

Registered at 13019 PAULINE DR, SHELBY TOWNSHIP, MI 483153122 (Tel: 5862079255)

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Updated Business Mailing Address November 08, 2024

Registered at 13019 PAULINE DR, SHELBY TOWNSHIP, MI 483153122 (Tel: 5862079255)

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Updated Practice Location October 26, 2021

Registered at 2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 915055031 (Tel: 8667278274)

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Updated Business Mailing Address October 26, 2021

Registered at 2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 915055031 (Tel: 8667278274)

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Provider Name / Credentials Updated October 26, 2021

Recorded as KYRA KIDD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2021

Behavior Technician

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NPI Profile Deactivated October 08, 2021

Record deactivated on October 08, 2021

🟢
Initial NPI Registration & Enumeration September 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609546456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2021
Last Update: November 08, 2024
Deactivation Date: October 08, 2021
Sole Proprietor: No

Mailing Address

13019 Pauline Dr

Shelby Township, MI 483153122

Phone: 5862079255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.