Kathy Lavern Robberson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1505 S Oswego Ave
Russellville, AR 72802-2673

Phone

(479) 967-3370

Fax

(479) 967-2775

NPI assigned

Dec 1, 2008

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

Other names 1

• Kathy Lavern May Former name

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.

• Conway County Community Service Inc

  • Community/Behavioral Health Agency
  • Clarksville, AR
  • NPI 1033344379
  NPD (past)
• Conway County Community Service Inc.

  • Community/Behavioral Health Agency
  • Morrilton, AR
  • NPI 1770631467
  NPD (past)
• Conway County Community Service Inc.

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1871727198
  NPD (past)

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1902051170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CHEROKEE ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102656",
            "telephone_number": "501-354-4589",
            "fax_number": "501-354-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S OSWEGO AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022673",
            "telephone_number": "479-967-3370",
            "fax_number": "479-967-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBERSON",
        "first_name": "KATHY",
        "middle_name": "LAVERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "MAY",
            "middle_name": "LAVERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• River Valley Surgery Center PLLC
• River Valley Therapy & Sports Medicine Inc
• River Valley Youth Foundation
• Sonya Roach
• Brooklyn Marie Schultes Robberson, AU.D.
• Donna Robbins, LCSW
• Robyn Ann Robbins, RN
• Hollie Roberson
• Robert Vogler, P.a.
• Amanda D. Roberts, LPC

• Behavior Analyst in Russellville, AR
• Providers in Russellville, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.