IndividualActive
Carly Kavanaugh
NPI 1073482592 · Behavior Technician · Jefferson City, MO
Carly Kavanaugh is a Behavior Technician provider in Jefferson City, MO (NPI 1073482592).
Provider details
- NPI number
- 1073482592
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 Southwest Blvd
Jefferson City, MO 65109-2455
Phone: (888) 515-1793
Street-level locationGet directions
Mailing address
1235 Green Falls Dr
Fenton, MO 63026-3416
Registry dates
- Enumerated
- 2025-11-03
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Carly Kavanaugh's NPI number?
- Carly Kavanaugh's National Provider Identifier (NPI) is 1073482592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Kavanaugh's specialty?
- Carly Kavanaugh is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Carly Kavanaugh located?
- Carly Kavanaugh's practice location on file with NPPES is 1600 Southwest Blvd, Jefferson City, MO 65109-2455.
- What is Carly Kavanaugh's phone number?
- The practice phone number listed in the NPPES registry for Carly Kavanaugh is (888) 515-1793.
- Is Carly Kavanaugh's NPI active?
- Yes — Carly Kavanaugh's NPI (1073482592) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.