Active NPI
Kathryne Libbra, BCBA
- Behavior Analyst
- Manchester, NH
National Provider Identifier
1669082988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB277184
- Practice address
- 375 S Willow St Ste 266
Manchester, NH 03103-5729 - Phone
- (877) 315-8080
- NPI assigned
- Aug 1, 2020
- 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 | BACB277184 | IL | Primary |
Addresses
Primary practice location
375 S Willow St Ste 266
Manchester, NH 03103-5729
Mailing address
2055 Craigshire Rd Ste 390
Saint Louis, MO 63146-4028
Phone (314) 275-0506
Other practice location 1
1500 S Douglas Rd Ste 203
Coral Gables, FL 33134-4108
Phone (844) 854-9711
Other practice location 2
2055 Craigshire Rd Ste 390
Saint Louis, MO 63146-4028
Phone (314) 275-0506
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB277184 | IL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergent Learning LLC | Behavior Analyst | Past | 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.
-
- Behavior Analyst
- Saint Louis, MO
- NPI 1972135606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1669082988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 CRAIGSHIRE RD STE 390",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464028",
"telephone_number": "314-275-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 S WILLOW ST STE 266",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035729",
"telephone_number": "877-315-8080"
}
],
"practiceLocations": [
{
"address_1": "1500 S Douglas Rd Ste 203",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331344108",
"country_code": "US",
"telephone_number": "844-854-9711",
"fax_number": "305-846-9711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2055 Craigshire Rd Ste 390",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631464028",
"country_code": "US",
"telephone_number": "314-275-0506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIBBRA",
"first_name": "KATHRYNE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-01",
"last_updated": "2022-08-08",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "BACB277184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.