Individual provider Active NPI

Katherine Winters-Hazen, BCBA

  • Behavior Analyst
  • Martins Ferry, OH
National Provider Identifier
1003475476
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
COBA.00471 Issued in OH
Practice address
410 Hanover St
Martins Ferry, OH 43935-1544
Phone
(740) 609-5072
Fax
(740) 609-5074
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X COBA.00471 OH Primary

Addresses

Primary practice location

410 Hanover St
Martins Ferry, OH 43935-1544

Mailing address

1852 Virginia Via
Washington, PA 15301-2630
Phone (724) 255-8960

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

State licenses

LicenseStateTypeSpecialty
COBA.00471OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Behavioral Solutions, LLC Behavior Analyst PastSince Feb 6, 2022 Accepting new patients

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1003475476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 VIRGINIA VIA",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012630",
            "telephone_number": "724-255-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HANOVER ST",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351544",
            "telephone_number": "740-609-5072",
            "fax_number": "740-609-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS-HAZEN",
        "first_name": "KATHERINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martins Ferry, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.