Katelyn Louis Coventry

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT20135515

Practice address

2740 N Harbor City Blvd
Melbourne, FL 32935-6291

Phone

(321) 622-6884

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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.

• Paloma Academy Inc

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1336788611
  NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1740897552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 DONEGAL DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406057",
            "telephone_number": "404-405-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356291",
            "telephone_number": "321-622-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVENTRY",
        "first_name": "KATELYN",
        "middle_name": "LOUIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT20135515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Melbourne",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Melbourne",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Melbourne",
            "address_1": "2740 N Harbor City Blvd",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329356291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Melbourne",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Melbourne",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Melbourne",
            "address_1": "2740 N Harbor City Blvd",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329356291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cotg 2021 (Covid on the Go)
• Jennifer Lynne Cotto, NP
• Jill A Coulter, FNP-BC
• Council Holdings LLC (Council Enterprise and Logistic Services)
• Counseling and Assessment Center of Brevard Inc
• Lisa Lyne Covington, RBT
• Zulenny Cowan Urquiola
• Catherine Cowan-Oberbeck, AUD
• Addison Annai Cox
• Beverly Lynn Cox, RD, LD

• Behavior Technician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.