Active NPI
Katrina Frye, RBT
- Behavior Technician
- Peru, IN
National Provider Identifier
1679314488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-288563
- Practice address
- 2430 S Business 31
Peru, IN 46970-7188 - Phone
- (765) 460-5071
- Fax
- (765) 319-0660
- NPI assigned
- Jun 5, 2024
- 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 | RBT-23-288563 | IN | Primary |
Addresses
Primary practice location
2430 S Business 31
Peru, IN 46970-7188
Mailing address
612 E Boulevard
Kokomo, IN 46902-2271
Phone (765) 461-1245
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 |
|---|---|---|---|
| RBT-23-288563 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Brain Alternatives, Inc | 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
- Kokomo, IN
- NPI 1477863520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1679314488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 E BOULEVARD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469022271",
"telephone_number": "765-461-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 S BUSINESS 31",
"city": "PERU",
"state": "IN",
"postal_code": "469707188",
"telephone_number": "765-460-5071",
"fax_number": "765-319-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYE",
"first_name": "KATRINA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-23-288563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peru, IN
- Four County Comprehensive Mental Health Center Inc
- Four County Comprehensive Mental Health Center, Inc
- David Allen Franklin, MSPT
- Anna Rose Frantz Laughner, LCSW
- Fresenius Medical Care Fort Wayne, LLC
- Genoa Healthcare LLC
- Barbara Ann Gibbs, LCSW
- Leigh Gibbs, LCSW
- Kathleen Rae Gibson
- Joseph D Gifford, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.