Individual provider Active NPI

Kaitlin Holloway Howard, MA, BCBA, LBA

  • Behavior Analyst
  • Midlothian, VA
National Provider Identifier
1447799747
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28907 Issued in VA
Practice address
5153 Craig Rath Blvd
Midlothian, VA 23112-6258
Phone
(804) 567-9115
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other identifiers 2

IdentifierTypeStateIssuer
0133001114OtherVALBA
1-17-28907OtherBCBA

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

OrganizationSpecialtyStatusNew patients
Mosaic Group, LLC Behavior Analyst PastSince Feb 1, 2022 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.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBA",
            "identifier": "0133001114",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-17-28907",
            "state": null
        }
    ],
    "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.

Verify at the official NPI Registry.