Kathleen Walsh, MT-BC, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-101 Issued in AZ

Practice address

3341 E Queen Creek Rd Ste 109
Gilbert, AZ 85297

Phone

(480) 621-8361

NPI assigned

Jan 22, 2010

Last updated

Dec 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1184955627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E WILDHORSE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-621-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KATHLEEN",
        "credential": "MT-BC, M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "IL",
            "license": "05280",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION BOARD FOR MUSIC THERAPISTS",
            "identifier": "05280",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-12-10000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Wallis, LAC
• Walmart Inc. (Wal-Mart Pharmacy 10-5186)
• Walmart Inc. (Walmart Pharmacy 10-3861)
• Walnut Vision Care Az, P.C.
• Alyssa Walrath, PA-C
• Matthew Walters
• Emily Walton, MA
• Bala Michael Wambebe
• Helen Huey-Li Wang
• Judy Kiang Wang, MD

• Behavior Analyst in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.