Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KACI R KOROTAYEV BCBA
NPI 1477170454
Behavior Analyst in Jacksonville, NC

Q: What is Kaci Korotayev's NPI number?

The NPI number for Kaci Korotayev is 1477170454. It was assigned to this individual provider in the NPPES registry on June 25, 2020. The provider is also known as Kaci Ellis.

Q: What is Kaci Korotayev's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaci Korotayev was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2020

806 BELL FORK RD, JACKSONVILLE, NC 28540(866) 727-8274 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2021, Jun 25, 2020 (2 updates tracked since 2020).

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About Kaci R Korotayev Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KACI R KOROTAYEV BCBA (NPI 1477170454) is an individual behavior analyst provider in Jacksonville, North Carolina and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1477170454

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKACI R KOROTAYEVCredential: BCBA

Location Address806 BELL FORK RDJacksonville, NC 28540-6312

Mailing Address1600 W 41st St Ste 500Baltimore, MD 21211-1504 · (866) 727-8274

Phone(866) 727-8274

Sole ProprietorNo

Enumeration DateJune 25, 2020

Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration

NPPES CertifiedOctober 21, 2026

✔ NPI 1477170454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

806 BELL FORK RD, Jacksonville, NC 28540

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Other Names 1

Former Name (1)Kaci Ellis

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL JACOME SANCHEZ

Behavior Technician