Catherine Diane Irwin, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-03-1049 Issued in FL

Practice address

2735 Sunrunner LN
Gulf Breeze, FL 32563-5510

Phone

(850) 934-5857

Fax

(859) 916-6590

NPI assigned

Jun 10, 2011

Last updated

Jun 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Partners With People

  • Community/Behavioral Health Agency
  • Gulf Breeze, FL
  • NPI 1336431196
  NPD (past) Authorized official

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1801181417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 SUNRUNNER LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635510",
            "telephone_number": "850-934-5857",
            "fax_number": "859-916-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 SUNRUNNER LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635510",
            "telephone_number": "850-934-5857",
            "fax_number": "859-916-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "CATHERINE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-03-1049",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1031049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679778496",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679778498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Nicole Ingleby, LCSW
• Inher Physique LLC
• Integrative Chiropractic & Physical Therapy Solutions
• Integrative Chiropractic & Physical Therapy Solutions Inc
• Integrity Hearing Associates LLC (Gulf Coast Hearing Centers)
• Marta Jacenyik, MD
• Emily Jackson
• Jacobs Enterprises, LLC (Jacobs Chiropractic & Wellness Center)
• Richard Jacobs, D.C.
• Seyed Mehdi Jafari, MD

• Behavior Analyst in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.