Kathryn Fahy, M.A, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62214 Issued in IL

Practice address

6860 N Frontage Rd Ste a
Burr Ridge, IL 60527-7828

Phone

(331) 210-9210

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Action Behavior Centers Therapy LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1699475509
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1568078863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 BOB O LINK RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624123",
            "telephone_number": "708-476-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 N FRONTAGE RD STE A",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277828",
            "telephone_number": "331-210-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19056 Henry Dr",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604489302",
            "country_code": "US",
            "telephone_number": "888-476-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHY",
        "first_name": "KATHRYN",
        "name_prefix": "Miss",
        "credential": "M.A, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-22-62214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Epps, MA
• Erich Hirsch DDS LC
• John P Erickson, MD
• Carol S Evenhouse, CDS CHILD DEVELOPMEN
• Evolution Home Health Care, Inc
• Family Chiropractic of Burr Ridge, P.C.
• Jeanne Fangman, P.T.
• Matthew Farmer
• Murray J Favus, MD
• Margaret A Feller, APN

• Behavior Analyst in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.