Active NPI
Katlyn Dorothy Freed, BCBA, LBA
- Behavior Analyst
- Omaha, NE
National Provider Identifier
1194178335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0631
- Practice address
- 11111 M St Ste 110
Omaha, NE 68137-2378 - Phone
- (402) 235-8120
- NPI assigned
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 0631 | NE | Primary |
Addresses
Primary practice location
11111 M St Ste 110
Omaha, NE 68137-2378
Mailing address
11111 M St Ste 110
Omaha, NE 68137-2378
Phone (402) 235-8120
Other practice location 1
5050 Ames Ave
Omaha, NE 68104-2323
Phone (402) 836-9781
Other practice location 2
6902 Pine St
Omaha, NE 68106-2855
Phone (402) 559-8863
Other names 1
- Katlyn Dorothy Altic
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0631 | NE | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1194178335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 M ST STE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372378",
"telephone_number": "402-235-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 M ST STE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372378",
"telephone_number": "402-235-8120"
}
],
"practiceLocations": [
{
"address_1": "5050 Ames Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681042323",
"country_code": "US",
"telephone_number": "402-836-9781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6902 Pine St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681062855",
"country_code": "US",
"telephone_number": "402-559-8863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREED",
"first_name": "KATLYN",
"middle_name": "DOROTHY",
"name_prefix": "Mrs.",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NE",
"license": "0631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATLYN",
"last_name": "ALTIC",
"middle_name": "DOROTHY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.