Active NPI
Kaitlin Dawn Fitzsimmons-Evans
- Behavior Technician
- Killeen, TX
National Provider Identifier
1821760349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549 - Phone
- (254) 630-1578
- NPI assigned
- Oct 3, 2021
- Last updated
- Oct 3, 2021
- 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 Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other names 1
- Kaitlin Dawn Snyderman
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 |
|---|---|---|---|
| Ayala's Therapist | Current | Accepting new patients |
Locations
4003 W Stan Schlueter Loop
Ste 201
Killeen, TX 76549
Phone (254) 630-1578
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633219200000",
"number": "1821760349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 W STAN SCHLUETER LOOP STE 201",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76549",
"telephone_number": "254-630-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMMONS-EVANS",
"first_name": "KAITLIN",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-03",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "SNYDERMAN",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.