Active NPI
Katharine Decossaux, BCBA, LBA
- Behavior Analyst
- Rockville, MD
National Provider Identifier
1255883245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-42685
- Practice address
- 2000 Tower Oaks Blvd FL 5
Rockville, MD 20852-4282 - Phone
- (301) 444-5001
- NPI assigned
- Oct 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-42685 | FL | Primary |
Addresses
Primary practice location
2000 Tower Oaks Blvd FL 5
Rockville, MD 20852-4282
Mailing address
1126 Camas Ave NW
Palm Bay, FL 32907-9464
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1255883245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 CAMAS AVE NW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329079464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 TOWER OAKS BLVD FL 5",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524282",
"telephone_number": "301-444-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOSSAUX",
"first_name": "KATHARINE",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-20-42685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.