Katherine McClelland, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26213 Issued in NM

Practice address

6100 Seagull St NE Ste B-200
Albuquerque, NM 87109

Phone

(505) 445-8720

NPI assigned

Jul 15, 2015

Last updated

May 30, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1902280316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SEAGULL ST NE STE B-200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092500",
            "telephone_number": "505-445-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SEAGULL ST NE STE B-200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-445-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Paul Ave",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882018631",
            "country_code": "US",
            "telephone_number": "714-745-7679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-17-26213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902280316",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chavonne McClay
• Jill D McCleary, LMT
• Reagan N McClellan
• Abby Jane McClelland
• Carmen McClelland
• Sandra McClelland
• Melissa McClendon, PT
• Debi K McClernon-Haigh, P.T.
• Lewis Dale McCleskey, R.PH.
• Lorayne Margaret McCleskey, R.PH.

• Behavior Analyst in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.