Individual provider Active NPI

Caitlyn Nichole Metoyer, BCBA, LBA

  • Behavior Analyst
  • Kingwood, TX
National Provider Identifier
1649814302
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3073 Issued in TX
Practice address
4501 Magnolia Cove Dr Ste 106a
Kingwood, TX 77345-2252
Phone
(844) 423-9468
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 3073 TX Primary

Addresses

Primary practice location

4501 Magnolia Cove Dr Ste 106a
Kingwood, TX 77345-2252

Mailing address

6914 Brisbane CT Ste 200
Sugar Land, TX 77479-4924

Other practice location 1

611 Rockmead Dr Ste 100
Kingwood, TX 77339-2294
Phone (281) 713-8980 ext. 3

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL caitlyn.metoyer@speckidsaba.com

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
3073TXMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1649814302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 BRISBANE CT STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MAGNOLIA COVE DR STE 106A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452252",
            "telephone_number": "844-423-9468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Rockmead Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392294",
            "country_code": "US",
            "telephone_number": "281-713-8980 x3",
            "fax_number": "281-713-8938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METOYER",
        "first_name": "CAITLYN",
        "middle_name": "NICHOLE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caitlyn.metoyer@speckidsaba.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant work email system",
            "address_1": "611 Rockmead Dr Ste 100",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773392294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.