Individual provider Active NPI

Katelyn Elizabeth Frye, BCBA

  • Behavior Analyst
  • Bloomington, IN
National Provider Identifier
1457999526
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-60615 Issued in IN
Practice address
443 S Landmark Ave
Bloomington, IN 47403-5004
Phone
(812) 329-4155
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 RBT-18-47602 IN
Behavior Analyst 103K00000X 1-22-60615 IN Primary

Addresses

Primary practice location

443 S Landmark Ave
Bloomington, IN 47403-5004

Mailing address

3447 N Harper Dr
Solsberry, IN 47459-8264
Phone (812) 327-5011

Other practice location 1

1501 W Tapp Rd
Bloomington, IN 47403-3459
Phone (812) 330-4460

Other practice location 2

640 S Walker St Ste A
Bloomington, IN 47403-2158
Phone (317) 881-9923

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
RBT-18-47602INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine ABA Therapy Inc. Behavior Analyst CurrentSince Nov 10, 2024 Accepting new patients
Reach High Consulting and Therapy, LLC Behavior Analyst PastSince Dec 1, 2019 Accepting new patients

Locations

443 S Landmark Ave
Bloomington, IN 47403
Phone (812) 329-4155

Organizations & group practices 2

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1457999526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 N HARPER DR",
            "city": "SOLSBERRY",
            "state": "IN",
            "postal_code": "474598264",
            "telephone_number": "812-327-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035004",
            "telephone_number": "812-329-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 W Tapp Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033459",
            "country_code": "US",
            "telephone_number": "812-330-4460",
            "fax_number": "812-330-4461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 S Walker St Ste A",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032158",
            "country_code": "US",
            "telephone_number": "317-881-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-18-47602",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-22-60615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.