Active NPI
Kathryn Fattal, BCBA, LBA
- Behavior Analyst
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-16442
- Practice address
- 900 N Cuernavaca Dr
Austin, TX 78733-3218 - Phone
- (512) 772-4042
- Fax
- (512) 842-7446
- NPI assigned
- Aug 19, 2015
- 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 Analyst | 103K00000X | 1-14-16442 | CA | Primary |
Addresses
Primary practice location
900 N Cuernavaca Dr
Austin, TX 78733-3218
Mailing address
900 N Cuernavaca Dr
Austin, TX 78733-3218
Phone (512) 772-4042
Other practice location 1
3230 E Imperial Hwy
Ste 203
Brea, CA 92821-6721
Phone (657) 444-9002
Other practice location 2
3595 RR 620 S Ste 220
Austin, TX 78738-6803
Phone (512) 772-4042
Other practice location 3
1464 E Whitestone Blvd Ste 2101
Cedar Park, TX 78613-9079
Phone (512) 772-4042
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivate Education Corporation | Behavior Analyst | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cultivate Behavioral Health and Education
- Behavior Analyst
- Overland Park, KS
- NPI 1154797900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1811363369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N CUERNAVACA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787333218",
"telephone_number": "512-772-4042",
"fax_number": "512-842-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N CUERNAVACA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787333218",
"telephone_number": "512-772-4042",
"fax_number": "512-842-7446"
}
],
"practiceLocations": [
{
"address_1": "3230 E Imperial Hwy",
"address_2": "Ste 203",
"address_purpose": "LOCATION",
"city": "Brea",
"state": "CA",
"postal_code": "928216721",
"country_code": "US",
"telephone_number": "657-444-9002",
"fax_number": "714-677-1785",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3595 RR 620 S Ste 220",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787386803",
"country_code": "US",
"telephone_number": "512-772-4042",
"fax_number": "512-842-7446",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1464 E Whitestone Blvd Ste 2101",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786139079",
"country_code": "US",
"telephone_number": "512-772-4042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FATTAL",
"first_name": "KATHRYN",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-16442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.