Katelyn Ann Robinson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37572

Practice address

45 Bridgewater LN Unit a
Highland, IL 62249-5956

Phone

(815) 508-4164

NPI assigned

Oct 21, 2019

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

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.

• Acorn Health of Illinois, LLC

  • Behavior Analyst
  • O Fallon, IL
  • NPI 1144867854
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1861035974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BRIDGEWATER LN UNIT A",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622495956",
            "telephone_number": "815-508-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BRIDGEWATER LN UNIT A",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622495956",
            "telephone_number": "815-508-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KATELYN",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-19-37572",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-37572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha I. Richards, PA-C
• Kristy Richter, PHARMD
• Sydney Rees Richter
• Mallory Rinderer, FNP-BC
• Robert E Engelmann DC Professional Corp
• Becky Rock, O.D
• Melissa Rogier
• Rosenthal Optometric Association LTD
• Karen Sue Rust
• Robert Francis Schaefer, MD

• Behavior Analyst in Highland, IL
• Providers in Highland, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.