Katherine Etgen, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6955 Portwest Dr Ste 190
Houston, TX 77024-8051

Phone

(713) 550-0690

NPI assigned

Sep 3, 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

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.

• Trevor'S Place LLC

  • Behavior Analyst
  • Killeen, TX
  • NPI 1518320035
  NPD

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1780232702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 CAROLCREST CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 PORTWEST DR STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770248051",
            "telephone_number": "713-550-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Nola Ruth Blvd",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765481549",
            "country_code": "US",
            "telephone_number": "254-449-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETGEN",
        "first_name": "KATHERINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Eter, MD
• Eterna Health and Wellness PLLC
• Eternal Healthcare Center, Inc
• Eternal Light Hospice, Inc
• Katayoun Etessami
• Ethan Truong DDS of Houston PLLC
• Ethel Row, LLC
• Ethels Special Care
• Ginger Michelle Etheridge, CPHT
• Thomas Harlan Anan Etheridge

• Behavior Analyst in Houston, TX
• Providers in Houston, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.