Katherine Helen Sillis, MT, M.ED.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25675 Issued in TX

Practice address

3595 Ranch Road 620 S # 220
Austin, TX 78738-6803

Phone

(512) 772-4042

NPI assigned

Sep 6, 2017

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 names 1

• Katherine Helen Gurecki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Medical Technician

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1386162667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 TISDALE DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578414",
            "telephone_number": "804-523-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 RANCH ROAD 620 S # 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386803",
            "telephone_number": "512-772-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLIS",
        "first_name": "KATHERINE",
        "middle_name": "HELEN",
        "credential": "MT, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-17-25675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GURECKI",
            "middle_name": "HELEN",
            "credential": "MT, M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Veronica Silguero, HIS
• Salvatore A Silinonte, RBT
• Paletasala Silivelio
• Mariama Sillah
• Elise Sillers, MA, LPC
• Gabriella Sillman
• Vivian Margarita Silva Garces I
• Haley Silva Mario, MS, RD, LD
• Thais B Silva-Rodriguez
• Adam Jeffrey Silva

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.