Kaitlyn Marie Hogan, LBA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8 N Walnut PL
Massapequa, NY 11758-2737

Phone

(347) 225-7976

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By 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.

• Blue Door ABA

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1306441167

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1366264830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N WALNUT PL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N WALNUT PL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582737",
            "telephone_number": "347-225-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HLC Chiropractic PC
• Gaetina Hodnett, M.S.ED.
• Kimberly Hoffman, M.ED
• Michael Hoffman, RPA
• Nicole Jordan Hoffman, DC
• Carol A Hohowski, OTR/L, CHT
• Amanda Hollyday, RYT
• Heather L Holman, L.M.T.
• Stuart Horowitz, DO
• Suzanne Howard, D.C.

• Behavior Technician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.