Katrina Michelle Wilburn-Beckhom, M.S.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-03-1465 Issued in FL

Practice address

230 S Jackson St
Suite 228
Albany, GA 31701-2885

Phone

(229) 317-4728

Fax

(229) 436-6903

NPI assigned

Jan 26, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

Practice roles

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.

• Tribeck Therapy Services, LLC

  • Behavior Analyst
  • Albany, GA
  • NPI 1487538732
  NPD Authorized official

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1790923928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 E PARK CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052542",
            "telephone_number": "229-436-6909",
            "fax_number": "229-436-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S JACKSON ST",
            "address_2": "SUITE 228",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012885",
            "telephone_number": "229-317-4728",
            "fax_number": "229-436-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN-BECKHOM",
        "first_name": "KATRINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-03-1465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santianna Nishondra White
• Teresa White
• Tejuanda Shanta Whitehead Sr., MPA,BSW
• Jennifer Whiteley, PA
• Jasmine Shernise Wiggins
• Roderick McLeod Wilcox, LCSW, MFT
• Stephen Mark Wilder
• Kenna W Wiles, P.A.
• William J. Davanzo, M.D., P.C.
• William Kelvin Lane

• Behavior Analyst in Albany, GA
• Providers in Albany, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.