Individual provider Active NPI

Caroline Berry, BCBA

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1033630801
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3794 Issued in TX
Practice address
100 Congress Ave Ste 2000
Austin, TX 78701-2745
Phone
(877) 418-2978
Fax
(866) 500-2186
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

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 3794 TX Primary

Addresses

Primary practice location

100 Congress Ave Ste 2000
Austin, TX 78701-2745

Mailing address

7142 Elk TRL
San Antonio, TX 78244-1539
Phone (210) 887-6735

Other practice location 1

7142 Elk Trl
San Antonio, TX 78244-1539
Phone (210) 887-6735

Other practice location 2

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978

Other identifiers 1

IdentifierTypeStateIssuer
3794OtherTXBEHAVIOE ANALYST LICENSE

Other names 1

  • Caroline Laboy Santiago Former name

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
3794TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsune LLC Behavior Analyst Current 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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1033630801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 ELK TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441539",
            "telephone_number": "210-887-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONGRESS AVE STE 2000",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012745",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7142 Elk Trl",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782441539",
            "country_code": "US",
            "telephone_number": "210-887-6735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Fairway Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334411834",
            "country_code": "US",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CAROLINE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOE ANALYST LICENSE",
            "identifier": "3794",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "LABOY SANTIAGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.