Kathleen D Edwards

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66576 Issued in GA

Practice address

6507 Jester Blvd Ste 301
Austin, TX 78750-8357

Phone

(512) 334-9907

Fax

(855) 726-5478

NPI assigned

Jan 24, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Little Behavior Consulting on the Coast, LLC

  • Behavior Analyst
  • Port Aransas, TX
  • NPI 1942802038
  NPD (past)

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1700648987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 JESTER BLVD STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508357",
            "telephone_number": "512-334-9907",
            "fax_number": "855-726-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 JESTER BLVD STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508357",
            "telephone_number": "512-334-9907",
            "fax_number": "855-726-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATHLEEN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-66576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Edwards, D.C.
• Jaspin T Edwards, LVN
• Jennifer Lynn Edwards, MA
• Jessica I Edwards, D.O.
• Jode Edwards, LCSW
• Kelly Harold Edwards, LMFT A, LPC INTERN
• Lee Andrew Edwards, PH.D.
• Lee Thomas Edwards, PH.D.
• Lisa Anne Edwards, OTR
• Lynnea Elisabeth Edwards, APRN, AGCNS-BC

• Behavior Analyst in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Analyst in Texas

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

Verify at the official NPI Registry.