Individual provider Active NPI

Katie Huba

  • Behavior Analyst
  • Lyndhurst, OH
National Provider Identifier
1750843694
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
00701 Issued in OH
Practice address
5168 Chickadee LN
Lyndhurst, OH 44124-2729
Phone
(412) 298-8749
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH003579 PA
Behavior Analyst 103K00000X 00701 OH Primary

Addresses

Primary practice location

5168 Chickadee LN
Lyndhurst, OH 44124-2729

Mailing address

5168 Chickadee LN
Lyndhurst, OH 44124-2729
Phone (412) 298-8749

Other practice location 1

4950 W 23rd St Ste 1
Erie, PA 16506-5802
Phone (814) 459-2755 ext. 81445

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

LicenseStateTypeSpecialty
00701OHMDBehavioral Analyst
BH003579PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Learning Behavior Analyst 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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1750843694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5168 CHICKADEE LN",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242729",
            "telephone_number": "412-298-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 CHICKADEE LN",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242729",
            "telephone_number": "412-298-8749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 W 23rd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165065802",
            "country_code": "US",
            "telephone_number": "814-459-2755 x81445",
            "fax_number": "814-456-4873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBA",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003579",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "00701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.