Katrina Mae Doud, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001273 Issued in MI

Practice address

1234 W Cedar Ave
Gladwin, MI 48624-1818

Phone

(989) 245-3681

NPI assigned

Oct 11, 2017

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

State licenses

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.

• Mercy Plus

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alma, MI
  • NPI 1902481658
  NPD (past)
• Mercy Plus Health Services

  • Behavior Analyst
  • Alma, MI
  • NPI 1447851233
  NPD (past)
• Mercy Plus Healthcare Services LLC

  • Nursing Care Agency
  • Flushing, MI
  • NPI 1669706149

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1912417445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W CURTIS RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579307",
            "telephone_number": "989-941-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241818",
            "telephone_number": "989-245-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Lemke St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486425926",
            "country_code": "US",
            "telephone_number": "989-923-7214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUD",
        "first_name": "KATRINA",
        "middle_name": "MAE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Dianis, PSYD
• Tameron Diehl
• Penny Sue Doane
• James Levant Dodge, RPH
• Nancy C Dodge, PT
• Renee Dyer, LLMSW
• Sally Easton
• Heather A Edgar, RN
• Abigail Edick
• Felicity Kay Edick

• Behavior Analyst in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.