Katherine Jane Mitchem, BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10165 Issued in WV

Practice address

827 Fairmont Rd Ste 207
Morgantown, WV 26501-3857

Phone

(304) 241-5982

Fax

(304) 212-5462

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1780102541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 IMPERIAL WOODS DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088128",
            "telephone_number": "304-276-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 FAIRMONT RD STE 207",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265013857",
            "telephone_number": "304-241-5982",
            "fax_number": "304-212-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEM",
        "first_name": "KATHERINE",
        "middle_name": "JANE",
        "credential": "BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WV",
            "license": "1-12-10165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Mitchell, NP-C
• Mikaela Ann-Marie Mitchell, DDS
• Rachel Mitchell, PHARMD
• Tonya Faye Mitchell, MA. ED.
• William Clifford Mitchell, MD
• Amy Wyatt Mitchin, SLP
• Joseph A Mix, DMD
• James Scott Mizes, PH.D.
• Beth Ann Moad, PA-C
• Kathryn Dawn Moats, LPN

• Behavior Analyst in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Behavior Analyst in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.