Active NPI
Kimberly M Potter, BCBA LBA LBS
- Behavior Analyst
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1084116
- Practice address
- 325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923 - Phone
- (888) 320-3222
- Fax
- (347) 402-2106
- NPI assigned
- Apr 25, 2011
- Last updated
- Jul 21, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1084116 | Primary | |
| Behavior Analyst | 103K00000X | 5610 | TX | |
| Behavior Analyst | 103K00000X | 2017015365 | MO | |
| Behavior Analyst | 103K00000X | BH006471 | PA | |
| Behavior Analyst | 103K00000X | 0133002953 | VA |
Addresses
Primary practice location
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Mailing address
1301 Sherman Ave
Pittsburgh, PA 15212-4631
Phone (201) 978-3815
Other practice location 1
1301 Sherman Ave
Pittsburgh, PA 15212-4631
Phone (201) 978-3815
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133002953 | Other | VA | VA LBA |
| 2017015365 | Other | MO | MO LBA |
| 1-08-4116 | Other | CO | BCBA |
| BH006471 | Other | PA | PA LBS |
| 5610 | Other | TX | TX LBA |
Other names 1
- Kimberly Ann Mitchell
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volt Wellness | Behavior Analyst | Current | Accepting new patients |
| Junior Boom ABA LLC | Behavior Analyst | Past | Accepting new patients |
Locations
294 Harrington Ave
Ste 8
Closter, NJ 07624
Phone (201) 585-0853
601 US Highway 46 W
Hasbrouck Heights, NJ 07604
Phone (201) 381-6136
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Brooklyn, NY
- NPI 1861194490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1205127370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SHERMAN AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124631",
"telephone_number": "201-978-3815",
"fax_number": "213-693-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "888-320-3222",
"fax_number": "347-402-2106"
}
],
"practiceLocations": [
{
"address_1": "1301 Sherman Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152124631",
"country_code": "US",
"telephone_number": "201-978-3815",
"fax_number": "213-693-1162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTER",
"first_name": "KIMBERLY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "BCBA LBA LBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1084116",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "5610",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2017015365",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH006471",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133002953",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA LBA",
"identifier": "0133002953",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO LBA",
"identifier": "2017015365",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-08-4116",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LBS",
"identifier": "BH006471",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LBA",
"identifier": "5610",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "MITCHELL",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.