Individual provider Active NPI

Kaitlin Hendrickx, MS BCBA

  • Behavior Analyst
  • Providence, RI
National Provider Identifier
1902371628
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA00140 Issued in RI
Practice address
729 Hope St
Providence, RI 02906-3533
Phone
(401) 837-1406
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA00140 RI Primary

Addresses

Primary practice location

729 Hope St
Providence, RI 02906-3533

Mailing address

729 Hope St
Providence, RI 02906-3533
Phone (401) 837-1406

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LBA00140RIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Paper Crown Preschool Behavior Analyst CurrentSince Nov 24, 2025 Accepting new patients

Locations

729 Hope St
Providence, RI 02906
Phone (401) 352-6137

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1902371628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063533",
            "telephone_number": "401-837-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063533",
            "telephone_number": "401-837-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKX",
        "first_name": "KAITLIN",
        "credential": "MS BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.