Kristie R Koch, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-40759

Practice address

7375 W US 52
New Palestine, IN 46163-8950

Phone

(888) 877-7222

Fax

(317) 978-3478

NPI assigned

Jul 7, 2020

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: info@schoolbehaviorconsultation.com

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.

• School-Based Behavior Consultation LLC

  • Behavior Analyst
  • New Palestine, IN
  • NPI 1275151987
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1306464300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 S COPPERSTONE DR",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461638036",
            "telephone_number": "765-661-9790",
            "fax_number": "317-978-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 W US 52",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "461638950",
            "telephone_number": "888-877-7222",
            "fax_number": "317-978-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Gas City",
            "state": "IN",
            "postal_code": "469331605",
            "country_code": "US",
            "telephone_number": "888-877-7222 x2",
            "fax_number": "317-978-3478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11850 Brookville Rd Ste 1102",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462399695",
            "country_code": "US",
            "telephone_number": "888-877-7222",
            "fax_number": "317-978-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCH",
        "first_name": "KRISTIE",
        "middle_name": "R",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-40759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@schoolbehaviorconsultation.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "address_1": "300 N 10th St",
            "city": "Gas City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469331605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@schoolbehaviorconsultation.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "address_1": "7375 W US 52",
            "city": "New Palestine",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461638950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Lynn Kafoure, LMHCA
• Wendy Kihiu, LMFT
• Shannon Kimbley, P.T.A.
• Katherine Kimmel, FNP-BC
• Elijah Koch
• Jensen Sarae Kornokovich, PHARMD
• Sydney Lane, RBT
• Vanessa J Lee, D.M.D.
• Taylor Renee Lord
• Angela Dawn Marrow, PTA

• Behavior Analyst in New Palestine, IN
• Providers in New Palestine, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.