Katelyn Theresa Long

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-214339 Issued in MO

Practice address

14733 Clayton Rd
Ballwin, MO 63011-2660

Phone

(314) 399-7732

NPI assigned

Feb 1, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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.

• My World ABA LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield, MO
  • NPI 1508415175
  NPD

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1750144879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 S CLIFTON AVE STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076045",
            "telephone_number": "573-433-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14733 CLAYTON RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112660",
            "telephone_number": "314-399-7732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3048 S Clifton Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076045",
            "country_code": "US",
            "telephone_number": "417-818-5784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KATELYN",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2024034597",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-22-214339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Liefer, RNFA
• Andrew Cittadino Link, DDS
• Live Well Be Well LLC
• Erica Lockhart
• Stephanie Loesch, LPC
• Longevity Vein Clinic LLC
• Alexandria A Lovelace
• Victoria Loving
• Thomas J. Lovinguth, PH.D.
• Cynthia Jean Lucas, O.D.

• Behavior Technician in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.