MEDICARE: BAYLEE ROY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-22-215736

General Provider Information

NPI Number	:	1215700232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAYLEE ROY

Provider Business Mailing Address
First Line	:	2723 S TOPEKA ST APT 101
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67216-1081
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 E 29TH ST N
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226-2169
Country	:	US
Telephone Number	:	316-634-8710
Fax Number	:	316-634-8891

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2023
Last Update Date	:	02/23/2026

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Directions to “ BAYLEE ROY ” Practice Location

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