Individual provider Active NPI

Katelyn Paige Brown

  • Behavior Analyst
  • Chandler, AZ
National Provider Identifier
1053953943
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37787 Issued in AZ
Practice address
2141 E Pecos Rd
Chandler, AZ 85225-6077
Phone
(480) 846-0607
Fax
(480) 841-6696
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 1-19-37787 AZ Primary

Addresses

Primary practice location

2141 E Pecos Rd
Chandler, AZ 85225-6077

Mailing address

2141 E Pecos Rd
Chandler, AZ 85225-6077
Phone (480) 846-0607

Other practice location 1

4602 E University Dr Ste 130
Phoenix, AZ 85034-7430
Phone (888) 754-0398

Other practice location 2

2121 E Pecos Rd
Chandler, AZ 85225-6075
Phone (480) 846-0607

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

OrganizationSpecialtyStatusNew patients
Bloomkidz Inc. Behavior Analyst CurrentSince Jan 21, 2024 Accepting new patients
Action Behavior Centers, LLC Behavior Analyst Past Accepting new patients

Locations

2121 E Pecos Rd
Chandler, AZ 85225
Phone (480) 846-0607

2141 E Pecos Rd
Chandler, AZ 85225
Phone (480) 846-0607

Organizations & group practices 2

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1053953943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 E PECOS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256077",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E PECOS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256077",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4602 E University Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850347430",
            "country_code": "US",
            "telephone_number": "888-754-0398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 E Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852256075",
            "country_code": "US",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATELYN",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-19-37787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.