Kaitlyn Harris, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41659 Issued in TX

Practice address

620 N Robinson Dr
Robinson, TX 76706-5312

Phone

(254) 732-2262

NPI assigned

Mar 2, 2020

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Thrive Behavioral Consulting, LLC

  • Behavior Analyst
  • Hewitt, TX
  • NPI 1740722107
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1356975122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLUMBUS AVE APT C",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011025",
            "telephone_number": "903-261-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ROBINSON DR",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065312",
            "telephone_number": "254-732-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KAITLYN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-20-41659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Gordon
• Hailey Griffin
• Kamri Griffin
• Alexis Griffith
• Shannon Hardin
• Ashonte Hartsfield, RNTX
• Megan Hatley
• Heart of Texas Region Mental Health Mental Retardation Center
• Julianna Hindsley
• Stacy Allison Hobbs, MSN, APRN, PMHNP-BC

• Behavior Analyst in Robinson, TX
• Providers in Robinson, TX by specialty
• Behavior Analyst in Texas

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

Verify at the official NPI Registry.