Active NPI
Kattina M Hantz, RBT
- Behavior Technician
- Angola, IN
National Provider Identifier
1780156703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-66085
- Practice address
- 100 Growth Pkwy Ste F-G
Angola, IN 46703-9343 - Phone
- (260) 459-6040
- NPI assigned
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 18-66085 | IN | Primary |
Addresses
Primary practice location
100 Growth Pkwy Ste F-G
Angola, IN 46703-9343
Mailing address
10820 Coldwater Rd
Fort Wayne, IN 46845-1241
Phone (260) 459-6040
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18-66085 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Autism Center, Inc | 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.
-
- Developmental Disabilities Clinic/Center
- Fort Wayne, IN
- NPI 1215105663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1780156703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10820 COLDWATER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451241",
"telephone_number": "260-459-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GROWTH PKWY STE F-G",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467039343",
"telephone_number": "260-459-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANTZ",
"first_name": "KATTINA",
"middle_name": "M",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "18-66085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.