Katherine Rose, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38892 Issued in GA

Practice address

2110 Moon Station Dr NW
Kennesaw, GA 30144-2759

Phone

(770) 627-2267

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Appleseeds Learning Center, Inc.

  • Behavior Analyst
  • Kennesaw, GA
  • NPI 1215306550
  NPD
• Georgia Developmental Services

  • Pediatric Occupational Therapist
  • Roswell, GA
  • NPI 1316223142
  NPD (past)
• Let'S Learn Inc

  • Behavior Analyst
  • Roswell, GA
  • NPI 1124569140
  NPD (past)

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1710450283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HERITAGE DR APT 104",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145697",
            "telephone_number": "404-512-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 MOON STATION DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442759",
            "telephone_number": "770-627-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KATHERINE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-19-38892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romangrace Care LLC
• Tama A Romero, LMT
• Andrea Romine
• Roots Wellness Center, LLC
• Jennifer Nicole Rose, LPC
• Lucy Gomez Rosenberg, D.C.
• Rosewood Home Care
• Herrasia Ross
• Mandela Ross
• Rotex Healthcare Services LLC

• Behavior Analyst in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.