Active NPI
Kristen Vitarius, MS, BCBA COBA
- Behavior Analyst
- Highland HTS, OH
National Provider Identifier
1568931988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- COBA.00448
- Practice address
- 387 Golfview LN
Highland HTS, OH 44143-4416 - Phone
- (216) 282-1234
- NPI assigned
- Nov 14, 2018
- Last updated
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | COBA.00448 | OH | Primary |
Addresses
Primary practice location
387 Golfview LN
Highland HTS, OH 44143-4416
Mailing address
387 Golfview LN
Highland HTS, OH 44143-4416
Phone (216) 282-1234
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COBA.00448 | OH | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1568931988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 GOLFVIEW LN",
"city": "HIGHLAND HTS",
"state": "OH",
"postal_code": "441434416",
"telephone_number": "216-282-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 GOLFVIEW LN",
"city": "HIGHLAND HTS",
"state": "OH",
"postal_code": "441434416",
"telephone_number": "216-282-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITARIUS",
"first_name": "KRISTEN",
"credential": "MS, BCBA COBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "COBA.00448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.