Active NPI
Kaitlin Ashley Fox, BCBA, LBA
- Behavior Analyst
- Vancouver, WA
National Provider Identifier
1629537360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-37214
- Practice address
- 11301 SE 10TH St Apt 104
Vancouver, WA 98664-6119 - Phone
- (949) 573-3165
- NPI assigned
- Mar 12, 2019
- 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 | 1-19-37214 | Primary |
Addresses
Primary practice location
11301 SE 10TH St Apt 104
Vancouver, WA 98664-6119
Mailing address
15171 SE Aston Loop
Portland, OR 97236-7876
Phone (949) 573-3165
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleidoscope Connections, PLLC | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1912773581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1629537360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15171 SE ASTON LOOP",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972367876",
"telephone_number": "949-573-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 SE 10TH ST APT 104",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986646119",
"telephone_number": "949-573-3165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "KAITLIN",
"middle_name": "ASHLEY",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2023-11-29",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-37214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.