Individual provider Active NPI

Katie Stricklin

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1497113443
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-1614181 Issued in FL
Practice address
305 East Dr Ste L
Melbourne, FL 32904-1033
Phone
(321) 345-0861
Fax
(321) 765-6434
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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 RBT-1614181 FL Primary

Addresses

Primary practice location

305 East Dr Ste L
Melbourne, FL 32904-1033

Mailing address

305 East Dr Ste L
Melbourne, FL 32904-1033
Phone (321) 345-0861

Other identifiers 1

IdentifierTypeStateIssuer
RBT-1614181OtherFLRBT

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-1614181FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1497113443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST DR STE L",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041033",
            "telephone_number": "321-345-0861",
            "fax_number": "321-765-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 EAST DR STE L",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041033",
            "telephone_number": "321-345-0861",
            "fax_number": "321-765-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLIN",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-1614181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "RBT-1614181",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.