Provider Demographics
NPI:1417740663
Name:KAIROS CENTER FOR BEHAVIOR ANALYSIS
Entity type:Organization
Organization Name:KAIROS CENTER FOR BEHAVIOR ANALYSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:KENNEDT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS, BCBA, LBA-IL
Authorized Official - Phone:978-808-6007
Mailing Address - Street 1:1209 MOUNTAIN ROAD PL NE STE R
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7845
Mailing Address - Country:US
Mailing Address - Phone:505-230-4055
Mailing Address - Fax:
Practice Address - Street 1:1209 MOUNTAIN ROAD PL NE STE R
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-7845
Practice Address - Country:US
Practice Address - Phone:505-230-4055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty