Kaitlin Ziomkowski, BCBA, LBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12156967

Practice address

6196 Lake Gray Blvd Ste 116
Jacksonville, FL 32244-5867

Phone

(800) 356-4049

NPI assigned

Feb 28, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1154955110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 CROSSHALL PL",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737115",
            "telephone_number": "513-295-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 LAKE GRAY BLVD STE 116",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445867",
            "telephone_number": "800-356-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIOMKOWSKI",
        "first_name": "KAITLIN",
        "credential": "BCBA, LBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "12156967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rod S Zimmerman, DDS
• Kimberly Anne Zinck, PTA
• Susan Zingalli, APRN-PMHNP
• Samantha Zinkofsky, AGNP-C
• Hannah Zinno, BCBA
• George Zislis
• Olivia Ann Zitiello
• Kenneth Erin Zitnik, M.D.
• Drew Avery Zitomer
• Endrit Ziu, M.D.,PH.D.

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.