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
- 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133001114 | Other | VA | LBA |
| 1-17-28907 | Other | BCBA |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Pineville, NC
- NPI 1144682873
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.