Kathleen M Gary, RN, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42961 Issued in OK

Practice address

19021 E Chokeberry St
Owasso, OK 74055-0037

Phone

(918) 972-1088

Fax

(918) 921-8143

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Pivotal Pathways LLC

  • Behavior Analyst
  • Owasso, OK
  • NPI 1255053906
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1447972195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740550754",
            "telephone_number": "918-972-1088",
            "fax_number": "918-921-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19021 E CHOKEBERRY ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740550037",
            "telephone_number": "918-972-1088",
            "fax_number": "918-921-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "RN, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0137155",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-20-42961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Raquel Garcia
• Gavin Vanwey Gardner, DO
• Tiffany Gardner, OT
• Brittany Layne Garoutte, LPC
• Aislynn Garrett
• Suzanne E Gauldin, LD/RD
• Eddie Duane Gaut
• Lisa Geissler
• Gem Expansive Services, LLC
• Genscripts Owasso, LLC

• Behavior Analyst in Owasso, OK
• Providers in Owasso, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.