Kassidy Reitan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

620 N Robinson Dr
Robinson, TX 76706-5312

Phone

(254) 732-2262

NPI assigned

Sep 27, 2022

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

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1992429773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N ROBINSON DR",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065312",
            "telephone_number": "254-732-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ROBINSON DR",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065312",
            "telephone_number": "254-732-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19019 State Highway 71 W",
            "address_purpose": "LOCATION",
            "city": "Spicewood",
            "state": "TX",
            "postal_code": "786696468",
            "country_code": "US",
            "telephone_number": "254-732-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITAN",
        "first_name": "KASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layna Philipp
• Lauren Pine, BCBA
• Karen Pophin, MS, LPC
• Courtney L Powell, LPC
• Mary Rasner, M.S. CCC/SLP
• Lindsey Richard, LPC
• Julia Richardson
• Robinson Family Healthcare, P.a.
• Robinson Isd
• Claudia Rockwell

• Behavior Technician in Robinson, TX
• Providers in Robinson, TX by specialty
• Behavior Technician in Texas

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