Active NPI
Kaitlyn Mouro Greer, BCBA
- Behavior Analyst
- Columbia, SC
National Provider Identifier
1003310962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-43864
- Practice address
- 3401 Colonial Dr
Columbia, SC 29203-6934 - Phone
- (817) 874-5812
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-43864 | Primary |
Addresses
Primary practice location
3401 Colonial Dr
Columbia, SC 29203-6934
Mailing address
3401 Colonial Dr
Columbia, SC 29203-6934
Phone (803) 216-1089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bardin Behavioral Health, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
3401 Colonial Dr
Columbia, SC 29203
Phone (803) 339-1907
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1003310962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036934",
"telephone_number": "803-216-1089",
"fax_number": "803-339-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036934",
"telephone_number": "817-874-5812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "KAITLYN",
"middle_name": "MOURO",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-20-43864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.