Katelyn Sides, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-58323 Issued in PA

Practice address

5400 W 11TH St Ste C
Greeley, CO 80634-4624

Phone

(970) 736-5970

Fax

(317) 520-8200

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Behavior Interventions, Inc

  • Behavior Analyst
  • King of Prussia, PA
  • NPI 1518190669
  NPD
• Action Behavior Centers, LLC

  • Behavior Analyst
  • Denver, CO
  • NPI 1942981824
  NPD (past)
• Hopebridge LLC

  • Child & Adolescent Psychiatry Physician
  • Greeley, CO
  • NPI 1629653902

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1275279531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W 11TH ST STE C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344624",
            "telephone_number": "970-736-5970",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "583 Shoemaker Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194064238",
            "country_code": "US",
            "telephone_number": "484-681-2170",
            "fax_number": "484-320-8307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDES",
        "first_name": "KATELYN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-22-58323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leona Shum, MD
• Emily Shupak
• Trint Shupe-Larson, RBT
• Alexandra Sickler, CNA
• Beth Sidebotham
• Lindsey Lee Sides, RN, BSN
• Steven D Sides, MD
• Teresa May Sieg, RD, CDE
• Kaitlyn M Siesel
• Savannah Carly Sievers, PAC

• Behavior Analyst in Greeley, CO
• Providers in Greeley, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.