Katrina Lytle, RBT

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0134000440

Practice address

427 Carlisle Dr
Herndon, VA 20170-5608

Phone

(254) 640-6438

Fax

(571) 336-5314

NPI assigned

Oct 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Directions ABA LLC

  • Behavior Analyst
  • Herndon, VA
  • NPI 1033681515
  NPD

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1255939096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CARLISLE DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 CARLISLE DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705608",
            "telephone_number": "254-640-6438",
            "fax_number": "571-336-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "KATRINA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "BCBA-02-213570",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0134000440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYTIC CERTIFICATION BOARD",
            "identifier": "RBT-19-86668",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katrina@newdirectionsaba.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "427 Carlisle Dr",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201705608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lumen Healthcare Partners, LLC
• Holli Luongo, RD
• McKenna Catherine Lupold, DPT
• Kevin Charles Lutta, M.D.
• Anastasia Lytle
• M.F.Hakimelahi,DDS,Inc.
• Peter John Macdaniel, D.P.T.
• Deborah Ann Macfarland, BCABA
• Taylor Macuci
• Kelly G Madigan, PT, DPT

• Assistant Behavior Analyst in Herndon, VA
• Providers in Herndon, VA by specialty
• Assistant Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.