Active NPI
Katelyn Legere, BCBA
- Behavior Analyst
- Norman, OK
National Provider Identifier
1346800745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-38784
- Practice address
- 2240 36TH Ave NW Ste 100
Norman, OK 73072 - Phone
- (405) 253-0071
- Fax
- (877) 866-6152
- NPI assigned
- Jun 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-19-38784 | Primary |
Addresses
Primary practice location
2240 36TH Ave NW Ste 100
Norman, OK 73072
Mailing address
2240 36TH Ave NW Ste 100
Norman, OK 73072-3251
Phone (405) 253-0071
Other practice location 1
941 Professional Park Drive
Clarksville, TN 37040-5137
Phone (615) 376-0034
Other practice location 2
941 Professional Park Drive
Clarksville, TN 37040-5137
Phone (615) 376-0034
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Education & Therapy Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Nashville, TN
- NPI 1699242420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1346800745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 36TH AVE NW STE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723251",
"telephone_number": "405-253-0071",
"fax_number": "877-866-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 36TH AVE NW STE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "73072",
"telephone_number": "405-253-0071",
"fax_number": "877-866-6152"
}
],
"practiceLocations": [
{
"address_1": "941 Professional Park Drive",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370405137",
"country_code": "US",
"telephone_number": "615-376-0034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "941 Professional Park Drive",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370405137",
"country_code": "US",
"telephone_number": "615-376-0034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEGERE",
"first_name": "KATELYN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-38784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.