Active NPI
Katelyn Anne Giboney, B.C.B.A.
- Behavior Analyst
- Woodland Hills, CA
National Provider Identifier
1437487691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807 - Phone
- (183) 452-3458
- NPI assigned
- Nov 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Mailing address
19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 345-2345
Other names 1
- Miss Katelyn Anne Marks
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Autism and Related Disorders LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Mamaroneck, NY
- NPI 1457506297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1437487691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-345-2345",
"fax_number": "866-587-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "183-452-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBONEY",
"first_name": "KATELYN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "B.C.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-30",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "MARKS",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "KATELYN MARKS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.