IndividualActive
Kylie Fedkow
NPI 1104696400 · Behavior Technician · Tampa, FL
Kylie Fedkow is a Behavior Technician provider in Tampa, FL (NPI 1104696400).
Provider details
- NPI number
- 1104696400
- 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
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
12725 Race Track Rd
Tampa, FL 33626-1314
Phone: (866) 610-0580
Street-level locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-07
Frequently asked questions
- What is Kylie Fedkow's NPI number?
- Kylie Fedkow's National Provider Identifier (NPI) is 1104696400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kylie Fedkow's specialty?
- Kylie Fedkow is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kylie Fedkow located?
- Kylie Fedkow's practice location on file with NPPES is 12725 Race Track Rd, Tampa, FL 33626-1314.
- What is Kylie Fedkow's phone number?
- The practice phone number listed in the NPPES registry for Kylie Fedkow is (866) 610-0580.
- Is Kylie Fedkow's NPI active?
- Yes — Kylie Fedkow's NPI (1104696400) is active in the NPPES registry as of the last update on 2024-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.