Kara Graham, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-34665 Issued in IN

Practice address

2005 E State Road 14
Rochester, IN 46975-9134

Phone

(574) 355-0770

NPI assigned

Feb 13, 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

Credentials

Master of Arts

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 and National Provider Directory roles.

• Adaptive Solutions, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • South Bend, IN
  • NPI 1356005599

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1821554072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 E STATE ROAD 14",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759134",
            "telephone_number": "574-355-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E STATE ROAD 14",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759134",
            "telephone_number": "574-355-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Niles Ave Ste Dt104",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466171923",
            "country_code": "US",
            "telephone_number": "574-355-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KARA",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-17-32719",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-19-34665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulton County EMS
• Fulton County Government
• Fulton County Medical Clinic PC
• Kelly Gard, LCSW
• Timothy Owens Goode, LCSW, LMFT
• Tammy Lynn Graham
• Jean A Halfast, LCSW, LCAC
• Monzur Haque, M.D.
• Rosetta A. Harrell, APN
• Bridget S Hayden, BA

• Behavior Analyst in Rochester, IN
• Providers in Rochester, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.