Active NPI
Katherin Leitch
- Behavior Technician
- Bay Village, OH
National Provider Identifier
1639669161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 315 Tanglewood LN
Bay Village, OH 44140-1130 - Phone
- (330) 416-9902
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | OH | Primary |
Addresses
Primary practice location
315 Tanglewood LN
Bay Village, OH 44140-1130
Mailing address
14734 Bellepoint Rd
Ostrander, OH 43061-9511
Phone (843) 408-3545
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1639669161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14734 BELLEPOINT RD",
"city": "OSTRANDER",
"state": "OH",
"postal_code": "430619511",
"telephone_number": "843-408-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 TANGLEWOOD LN",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441401130",
"telephone_number": "330-416-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITCH",
"first_name": "KATHERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.