Katelyn Marie Deshon

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-81369 Issued in FL

Practice address

533 N Nova Rd Ste 112
Ormond Beach, FL 32174-4420

Phone

(386) 492-9041

Fax

(386) 492-9061

NPI assigned

Feb 20, 2019

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

Other identifiers 1

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.

• Lighthouse Behavioral Health, LLC

  • Behavior Analyst
  • Ormond Beach, FL
  • NPI 1609316959
  NPD
• Florida Autism Center

  • Behavior Analyst
  • Daytona Beach, FL
  • NPI 1316360076
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1750848222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CORACI BLVD APT 5301",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287577",
            "telephone_number": "330-224-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 112",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744420",
            "telephone_number": "386-492-9041",
            "fax_number": "386-492-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHON",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-81369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102468500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rose Dennis, DMD
• Kristin L Deringer
• Mark Derouaux, PT
• Rachel Leigh Derwick, ARNP
• Brianne Courtney Desantis, D.M.D., M.S.
• Design for Independence LLC
• Ellen Nicole Desimone, A.R.N.P.
• James Dessoye
• Andrew Devries
• Sadye Grace Dexter, APRN

• Behavior Analyst in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.