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Katelyn Marie Butler , BCBA

Behavior Analyst β€’ Dallas, GA

Active NPI 1467961474 Individual Practitioner Female Practitioner
Practice location in NPPES

727 Blackberry Run Trl
Dallas, GA 301322129

Call 4042903422 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

727 Blackberry Run Trl

Dallas, GA 301322129

Telephone 4042903422
Fax 6783030347
Organization at the Same NPPES Address or Phone
Momentum Behavioral Services Facility NPI 1801566047

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

NPI first issued

2017

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 Dallas and Georgia

20 active clinicians are listed under Behavior Analyst with a practice address in Dallas, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dallas

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 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: 2020-03-04
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA 1-17-27406

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: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
003205692D (GA)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location March 04, 2020

Registered at 727 BLACKBERRY RUN TRL, DALLAS, GA 301322129 (Tel: 4042903422)

πŸ“
Updated Business Mailing Address March 04, 2020

Registered at 727 BLACKBERRY RUN TRL, DALLAS, GA 301322129 (Tel: 4042903422)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2020

Behavior Analyst (license number reported to NPPES: GA 1-17-27406)

βœ…
NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 21, 2017

Registered at 2933 CHEROKEE ST NW, KENNESAW, GA 301442884 (Tel: (770) 627-2267)

πŸ“
Business Mailing Address (Initial Record) September 21, 2017

Registered at 2933 CHEROKEE ST NW, KENNESAW, GA 301442884 (Tel: 7706272267)

πŸ‘€
Provider Name / Credentials (Initial Record) September 21, 2017

Recorded as KATELYN BUTLER, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Behavior Analyst

🟒
Initial NPI Registration & Enumeration September 21, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467961474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2017
Last Update: March 04, 2020
Sole Proprietor: Yes

Mailing Address

727 Blackberry Run Trl

Dallas, GA 301322129

Phone: 4042903422

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.