NPI 1912585753 · live from the CMS NPI Registry
Katie Michelle Blevins, MA, BCBA, LBA
Behavior Analyst in Louisville, KY. National Provider Identifier 1912585753, active.
NPI record
| NPI | 1912585753 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 175 Market Place Dr Ste A, Louisville, KY 40229 |
| Practice phone | 502-251-7002 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | April 1, 2021 |
| Last updated | July 10, 2023 |
| Sole proprietor | No |
| Other names | Kate Gibson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 286317 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.