Individual provider Active NPI

Katherine Grace Van Timmeren, MSW

  • Behavior Analyst
  • Baton Rouge, LA
National Provider Identifier
1457960221
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-1091 Issued in LA
Practice address
5349 Flanders Dr
Baton Rouge, LA 70808-4349
Phone
(225) 485-0248
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X GA
Behavior Analyst 103K00000X L-1091 LA Primary

Addresses

Primary practice location

5349 Flanders Dr
Baton Rouge, LA 70808-4349

Mailing address

5349 Flanders Dr
Baton Rouge, LA 70808-4349
Phone (225) 256-1723

Other practice location 1

1360 Caduceus Way Ste 101
Watkinsville, GA 30677-7300
Phone (888) 509-6368

Other practice location 2

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580

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

State licenses

LicenseStateTypeSpecialty
L-1091LAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1457960221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084349",
            "telephone_number": "225-256-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084349",
            "telephone_number": "225-485-0248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Caduceus Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306777300",
            "country_code": "US",
            "telephone_number": "888-509-6368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 International Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465028",
            "country_code": "US",
            "telephone_number": "866-610-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN TIMMEREN",
        "first_name": "KATHERINE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-1091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.