Active NPI
Kaitlin Holloway Howard, MA, BCBA, LBA
- Behavior Analyst
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-28907
- Practice address
- 5153 Craig Rath Blvd
Midlothian, VA 23112-6258 - Phone
- (804) 567-9115
- NPI assigned
- Feb 20, 2017
- Last updated
- Nov 30, 2024
- 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 | 1-17-28907 | VA | Primary |
Addresses
Primary practice location
5153 Craig Rath Blvd
Midlothian, VA 23112-6258
Mailing address
5153 Craig Rath Blvd
Midlothian, VA 23112-6258
Phone (980) 785-1113
Other practice location 1
8374 Six Forks Rd
Suite 101
Raleigh, NC 27615-5096
Phone (919) 890-5852
Other practice location 2
1516 Willow Lawn Dr Ste 203
Richmond, VA 23230-3412
Phone (804) 269-4732
Other practice location 3
5949 Harbour Park Dr
Midlothian, VA 23112-2163
Phone (804) 596-3275
Other practice location 4
14321 Winter Breeze Dr Ste 91
Midlothian, VA 23113-2452
Phone (980) 785-1113 ext. 123
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Group, LLC | Behavior Analyst | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1447799747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5153 CRAIG RATH BLVD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126258",
"telephone_number": "980-785-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 CRAIG RATH BLVD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126258",
"telephone_number": "804-567-9115"
}
],
"practiceLocations": [
{
"address_1": "8374 Six Forks Rd",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276155096",
"country_code": "US",
"telephone_number": "919-890-5852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1516 Willow Lawn Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232303412",
"country_code": "US",
"telephone_number": "804-269-4732",
"fax_number": "804-447-4867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5949 Harbour Park Dr",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231122163",
"country_code": "US",
"telephone_number": "804-596-3275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14321 Winter Breeze Dr Ste 91",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231132452",
"country_code": "US",
"telephone_number": "980-785-1113 x123",
"fax_number": "980-785-1114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWARD",
"first_name": "KAITLIN",
"middle_name": "HOLLOWAY",
"name_prefix": "Mrs.",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "1-17-28907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.