Individual provider Active NPI

Kimberly M Potter, BCBA LBA LBS

  • Behavior Analyst
  • Dallas, TX
National Provider Identifier
1205127370
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0133002953OtherVAVA LBA
2017015365OtherMOMO LBA
1-08-4116OtherCOBCBA
BH006471OtherPAPA LBS
5610OtherTXTX LBA

Other names 1

  • Kimberly Ann Mitchell Former name

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

OrganizationSpecialtyStatusNew patients
Volt Wellness Behavior Analyst CurrentSince Aug 2, 2020 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.

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.

Verify at the official NPI Registry.