Individual provider Active NPI

Katrina Eva Gittins, BCBA

  • Behavior Analyst
  • Albuquerque, NM
National Provider Identifier
1568957751
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30977 Issued in TX
Practice address
6801 Jefferson St NE Ste 150
Albuquerque, NM 87109-4379
Phone
(469) 873-4296
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-18-30977 TX Primary

Addresses

Primary practice location

6801 Jefferson St NE Ste 150
Albuquerque, NM 87109-4379

Mailing address

6801 Jefferson St NE Ste 150
PMB 3332
Albuquerque, NM 87109-4390
Phone (469) 873-4296

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

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Autism Therapy, LLC Behavior Analyst Current Accepting new patients
Aspire Autism Therapy, PLLC Behavior Analyst CurrentSince May 18, 2025 Accepting new patients
Alpha Autism Therapy, LLC Behavior Analyst PastSince May 1, 2022 Accepting new patients

Locations

6801 Jefferson St NE
Ste 150
Albuquerque, NM 87109
Phone (505) 605-6572

Organizations & group practices 3

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1568957751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE STE 150",
            "address_2": "PMB 3332",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094390",
            "telephone_number": "469-873-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE STE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094379",
            "telephone_number": "469-873-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTINS",
        "first_name": "KATRINA",
        "middle_name": "EVA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-18-30977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.