Kaitlyn Elizabeth Goss Luth, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401002257 Issued in MI

Practice address

1545 68TH St SE Ste 201
Kentwood, MI 49508-7896

Phone

(844) 482-0532

NPI assigned

Sep 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acorn Health, LLC.

  • Behavior Analyst
  • Coral Gables, FL
  • NPI 1801494679
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1417564824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-244-1818",
            "fax_number": "888-512-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 68TH ST SE STE 201",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087896",
            "telephone_number": "844-482-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTH",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH GOSS",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonias World Care Center
• Callan Loughin, BEHAVIOR TECHNICIAN
• LTC Pharmacy, LLC
• Katherine H Luczkowski
• Brooke Anna Lundie
• Luxottica Retail North America Inc
• Beth Macauley, PH.D., CCC-SLP, HPCS
• Evan Macdonald, LMT
• Swetha Madala, D.D.S
• Denise Maldonado

• Behavior Analyst in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.