Kaitlin Mary Coryat Fernandez, M.A., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7532 Issued in MD

Practice address

85 Dunkirk Rd
Baltimore, MD 21212-1707

Phone

(607) 437-2815

NPI assigned

Dec 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kaitlin Mary Coryat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1154624658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DUNKIRK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121707",
            "telephone_number": "607-437-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 DUNKIRK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121707",
            "telephone_number": "607-437-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KAITLIN",
        "middle_name": "MARY CORYAT",
        "name_prefix": "Ms.",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-10-7532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-10-7532",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "CORYAT",
            "middle_name": "MARY",
            "credential": "M.A., BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eseosa Christiana Fernandes, MBBS
• Kevin Fernandes, MD
• Priyanka Kanwar Fernandes
• Emmelene Galang Fernandez, MSN, AGACNP
• Jusara Fernandez
• Kristen L Fernandez, M.D.
• Maria Josefina Fernandez, M.A., CCC-SLP
• Meagan Alexandra-Ward Fernandez, PA-C
• Marie G. Fernelis
• Marcela A Ferrada, M.D.

• Behavior Analyst in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.