Kaitlan Elizabeth Collie, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19559 Issued in TX

Practice address

691 W Kamilche LN
Shelton, WA 98584-7701

Phone

(832) 212-2615

NPI assigned

May 18, 2014

Last updated

Oct 20, 2023By 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 1

Addresses

Other identifiers 1

Other names 1

• Kaitlan Elizabeth Hawkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1400371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1376954842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 W KAMILCHE LN",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847701",
            "telephone_number": "832-212-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 W KAMILCHE LN",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847701",
            "telephone_number": "832-212-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIE",
        "first_name": "KAITLAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-18",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-15-19559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-15-19559",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLAN",
            "last_name": "HAWKINS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sefina Marie Coffee
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• Ayanna Justine Cole
• Brandy Kay Coleman
• Helene Coleman, L.M.P
• Norman E. Collins, D.C.
• Jessica Comstock
• Consejo Counseling and Referral Service - Shelton
• Christa Michelle Cooper, LMP
• Coram Deo Counseling, LLC

• Behavior Analyst in Shelton, WA
• Providers in Shelton, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.