Kathleen Cook, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-20777 Issued in OH

Practice address

5448 Manning Cir
North Ridgeville, OH 44039-1339

Phone

(440) 319-8617

NPI assigned

Jan 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1407329402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 MANNING CIR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391339",
            "telephone_number": "440-319-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 MANNING CIR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391339",
            "telephone_number": "440-319-8617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5061 Stansbury Dr",
            "address_purpose": "LOCATION",
            "city": "Solon",
            "state": "OH",
            "postal_code": "441391230",
            "country_code": "US",
            "telephone_number": "440-319-8617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KATHLEEN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "307",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-15-20777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Cicero, OCCUPATIONAL THERAPI
• City of North Ridgeville
• Anna Lisa Clark, LISW, LICDC
• Kimberley M Clough
• Conversations for Change Counseling Services, Inc.
• Karen Cooney, OTR/L
• Kathleen Ann Cooper, PTA
• Yalesia Nicole Cooper, LPN
• James Cordaro
• Gregory B Cortese, NP-C

• Behavior Analyst in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.