Individual provider Active NPI

Kathryn Quinn, M.ED., BCBA

  • Behavior Analyst
  • Rockville, MD
National Provider Identifier
1609116516
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-13338 Issued in VA
Practice address
11814 Seven Locks Rd
Rockville, MD 20854-3395
Phone
(301) 469-0223
Fax
(301) 469-0778
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 1-13-13338 VA Primary

Addresses

Primary practice location

11814 Seven Locks Rd
Rockville, MD 20854-3395

Mailing address

6714 Walnut St
Falls Church, VA 22046-2318
Phone (703) 624-7526

Other practice location 1

3000 Washington Blvd Apt 201
Arlington, VA 22201-2110
Phone (703) 624-7526

Other identifiers 1

IdentifierTypeStateIssuer
1-13-13338OtherBEHAVIOR ANALYST CERTIFICATION BOARD

Other names 1

  • Kathryn Gogoel Former name

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 Education

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1609116516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 WALNUT ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220462318",
            "telephone_number": "703-624-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11814 SEVEN LOCKS RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543395",
            "telephone_number": "301-469-0223",
            "fax_number": "301-469-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Washington Blvd Apt 201",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222012110",
            "country_code": "US",
            "telephone_number": "703-624-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KATHRYN",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-13-13338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-13-13338",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GOGOEL",
            "credential": "M.ED., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.