Rebecca Lee Kolb, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23478 Issued in MI

Practice address

4200 S Westnedge Ave
Kalamazoo, MI 49008-3208

Phone

(269) 459-7821

NPI assigned

Jan 9, 2017

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1184160657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 OAK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081345",
            "telephone_number": "608-213-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083208",
            "telephone_number": "269-459-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-16-23478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kohn
• Effie Kokkinos, PH.D
• Gayle Naomi Kokmeyer, OTR/L
• Nathen Joel Kokmeyer, FNP-C
• Steven F Kokmeyer, M.D.
• Natalie J Kolberg, MA, CCC-SLP
• Necole Marie Koliba, DO
• Julie Lyn Koller, PHARMD
• Hailey Kolsky, MD
• Sophia Kolyvas

• Behavior Analyst in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.