Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kaitlin Smith , BCBA

Behavior Analyst β€’ Wilmington, NC

Active NPI 1114543030 Individual Practitioner Female Practitioner
Practice location in NPPES

101 Virginia Ave
Wilmington, NC 284017000

Call 9193750475 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

101 Virginia Ave

Wilmington, NC 284017000

Telephone 9193750475
Organization at the Same NPPES Address or Phone
Cross River Therapy Ak Llc Facility NPI 1053228643

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 Wilmington and North Carolina

94 active clinicians are listed under Behavior Analyst with a practice address in Wilmington, NC (2,541 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wilmington

0% of these 94 clinicians have the CMS telehealth indicator.

0% of these 94 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: 2023-12-26
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NC 1-20-42661

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: North Carolina Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location December 26, 2023

Registered at 101 VIRGINIA AVE, WILMINGTON, NC 284017000 (Tel: 9193750475)

πŸ‘€
Provider Name / Credentials Updated January 04, 2022

Recorded as KAITLIN SMITH, BCBA

βœ…
NPI Profile Active June 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2020

Registered at 16717 US HIGHWAY 17 STE 204, HAMPSTEAD, NC 284433088 (Tel: 9105992230)

πŸ“
Business Mailing Address (Initial Record) June 17, 2020

Registered at 914 POTOMAC DR, WILMINGTON, NC 284111065 (Tel: 9107891271)

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2020

Recorded as KAITLIN SARVIS, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2020

Behavior Analyst (license number reported to NPPES: NC 1-20-42661)

🟒
Initial NPI Registration & Enumeration June 17, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1114543030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2020
Last Update: December 26, 2023
Sole Proprietor: Yes

Mailing Address

914 Potomac Dr

Wilmington, NC 284111065

Phone: 9107891271

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.