Katie Dougherty

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62635 Issued in FL

Practice address

495 Grand Boulevard
Suite 206
Miramar Beach, FL 32550-1408

Phone

(850) 221-7563

NPI assigned

Mar 21, 2022

Sex

Female

Sole proprietor

No

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

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.

• Resilience ABA & Consultation

  • Behavior Analyst
  • Pensacola, FL
  • NPI 1477402352
  NPD Authorized official

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1821747551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 GRAND BOULEVARD",
            "address_2": "SUITE 206",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501408",
            "telephone_number": "850-221-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-62635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destin Smiles. PA
• Developmental Therapies, LLC
• Katia Dieguez-Otero, M.D
• Nicholas Martin Dietschweiler, DO
• Marion Dompierre
• Hannah Rose Duplantis, APRN
• Natalie A Dyer, RBT
• Destiny Eash
• Ashlee Charlena Eaton
• Katherine Marie Eberly, PA-C

• Behavior Analyst in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.