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Kaitlin Ziomkowski , BCBA, LBA, COBA

Behavior Analyst β€’ Jacksonville, FL

Active NPI 1154955110 Individual Practitioner Female Practitioner
Practice location in NPPES

6196 Lake Gray Blvd Ste 116
Jacksonville, FL 322445867

Call 8003564049 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6196 Lake Gray Blvd Ste 116

Jacksonville, FL 322445867

Telephone 8003564049
Organization at the Same NPPES Address or Phone
Progressus Therapy, Llc Facility NPI 1629644919

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

487 active clinicians are listed under Behavior Analyst with a practice address in Jacksonville, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 487 clinicians have the CMS telehealth indicator.

0% of these 487 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-30
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 12156967

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address April 30, 2025

Registered at 6309 CROSSHALL PL, WAXHAW, NC 281737115 (Tel: 5132951850)

πŸ‘€
Provider Name / Credentials Updated April 30, 2025

Recorded as KAITLIN ZIOMKOWSKI, BCBA, LBA, COBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2025

Behavior Analyst (license number reported to NPPES: None 12156967)

βœ…
NPI Profile Active February 28, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 28, 2020

Registered at 6196 LAKE GRAY BLVD STE 116, JACKSONVILLE, FL 322445867 (Tel: 8003564049)

πŸ“
Business Mailing Address (Initial Record) February 28, 2020

Registered at 6196 LAKE GRAY BLVD STE 116, JACKSONVILLE, FL 322445867 (Tel: 8003564049)

πŸ‘€
Provider Name / Credentials (Initial Record) February 28, 2020

Recorded as KAITLIN ZIOMKOWSKI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2020

Behavior Technician

🟒
Initial NPI Registration & Enumeration February 28, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154955110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2020
Last Update: April 30, 2025
Sole Proprietor: No

Mailing Address

6309 Crosshall Pl

Waxhaw, NC 281737115

Phone: 5132951850

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.