Katarina Krokkerova, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12260081

Practice address

2460 Riva Ridge Rd
Montgomery, IL 60538-3408

Phone

(630) 999-0401

NPI assigned

Apr 17, 2017

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Behavioral Perspective Inc.

  • Behavior Analyst
  • West Chicago, IL
  • NPI 1578883500
  NPD (past)

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1225562192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 RIVA RIDGE RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605383408",
            "telephone_number": "630-999-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 RIVA RIDGE RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605383408",
            "telephone_number": "630-999-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROKKEROVA",
        "first_name": "KATARINA",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-60081",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "12260081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-22-60081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cora Klimasara
• KMK Consulting Inc
• Cindy Ann Korso, LSW
• Kristina Thomas Therapy Services
• Pamela A Krohn, RPH
• Leah Landeros
• Anastasia Marie Langdon, M.S. CCC-SLP
• Michael Larson
• Leger Chirorehab LTD (Leger Chiro-Health and Wellness)
• David D Leger, D.C.

• Behavior Analyst in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.