Katie Meyer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15679 Issued in IN

Practice address

3730 Edison Lakes Pkwy
Mishawaka, IN 46545

Phone

(574) 387-4313

Fax

(574) 204-2868

NPI assigned

Aug 25, 2015

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

• Katie Grenier 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.

• Vav Operations LLC

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1942576905

  Behavior Analyst

  NPD (past)
• Vav Operations Ia LLC

  • Community/Behavioral Health Agency
  • Davenport, IA
  • NPI 1194439661

  Behavior Analyst

  NPD (past)
• Vav Operations Il, LLC

  • Behavior Analyst
  • Champaign, IL
  • NPI 1689347999
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1982071999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453424",
            "telephone_number": "574-387-4313",
            "fax_number": "574-204-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-387-4313",
            "fax_number": "574-204-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KATIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-14-15679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "GRENIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ment-Hope LLC
• Mental Substance LLC
• Merrill Corporation
• Joseph M Meszaros, PHARM. D, RPH
• Gary Q Metzler, DDS
• Steven M Mezsick, M.D.
• Michael L Rupley PHD PC
• Michael Salcedo DPM
• Lisa Marie Michalski
• Michiana Chiropractic Center

• Behavior Analyst in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.