Individual provider Active NPI

Katrina Leybovsky, BCBA

  • Behavior Analyst
  • Ridgefield, CT
National Provider Identifier
1376318733
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1793 Issued in CT
Practice address
137 Ethan Allen Hwy
Ridgefield, CT 06877-6238
Phone
(203) 464-9053
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1793 CT Primary

Addresses

Primary practice location

137 Ethan Allen Hwy
Ridgefield, CT 06877-6238

Mailing address

137 Ethan Allen Hwy
Ridgefield, CT 06877-6238
Phone (203) 464-9053

Other names 1

  • Katrina Leybovsky Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1376318733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ETHAN ALLEN HWY",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776238",
            "telephone_number": "203-464-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ETHAN ALLEN HWY",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776238",
            "telephone_number": "203-464-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYBOVSKY",
        "first_name": "KATRINA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "LEYBOVSKY",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.