Individual provider Active NPI

Katelyn Elise Sochanek, MA, BCBA, LBA

  • Behavior Analyst
  • Grand Rapids, MI
National Provider Identifier
1952898892
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401001180 Issued in MI
Practice address
1000 E Paris Ave SE Ste 160
Grand Rapids, MI 49546-8313
Phone
(616) 914-3854
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RTB-17-40223 MI
Behavior Analyst 103K00000X 7401001180 MI Primary

Addresses

Primary practice location

1000 E Paris Ave SE Ste 160
Grand Rapids, MI 49546-8313

Mailing address

2142 Tremont Blvd NW
Grand Rapids, MI 49504-4757
Phone (616) 914-3854

Other names 1

  • Katelyn Elise Sochanek Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgalan@acornhealth.com

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 Arts

State licenses

LicenseStateTypeSpecialty
7401001180MIMDBehavioral Analyst
RTB-17-40223MIMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1952898892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 TREMONT BLVD NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044757",
            "telephone_number": "616-914-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE STE 160",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468313",
            "telephone_number": "616-914-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHANEK",
        "first_name": "KATELYN",
        "middle_name": "ELISE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "RTB-17-40223",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgalan@acornhealth.com",
            "affiliation": "N",
            "address_1": "1000 E Paris Ave SE Ste 160",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495468313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "SOCHANEK",
            "middle_name": "ELISE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.