Individual provider Active NPI

Katelyn Hayden

  • Behavior Technician
  • Richmond Hill, GA
National Provider Identifier
1609448968
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-176058 Issued in GA
Practice address
10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259
Phone
(912) 445-6063
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-176058 GA Primary

Addresses

Primary practice location

10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259

Mailing address

10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259

Other names 1

  • Katelyn Case 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

State licenses

LicenseStateTypeSpecialty
RBT-21-176058GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope ABA LLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

10221 Ford Ave
Ste 1
Richmond Hill, GA 31324
Phone (912) 445-5790

Organizations & group practices 1

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1609448968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 FORD AVE STE 1",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313240259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 FORD AVE STE 1",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313240259",
            "telephone_number": "912-445-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-21-176058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "CASE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.