NPI 1679255079 · live from the CMS NPI Registry
Katherine L Ansboury, RBT
Behavior Analyst in Owasso, OK. National Provider Identifier 1679255079, active.
NPI record
| NPI | 1679255079 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 11412 N 134th East Ave Ste C3, Owasso, OK 74055 |
| Practice phone | 210-440-1903 |
| Mailing address | 4620 S Aspen Ave Apt 1103, Broken Arrow, OK 74011 |
| Enumerated | August 4, 2023 |
| Last updated | September 20, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-85264 (OK) |
| Behavior Analyst primary | 103K00000X | 1-25-85264 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.