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Katie Rexroat , BCBA, LBA

Behavior Analyst β€’ Sherwood, OR

Active NPI 1154862498 Individual Practitioner Female Practitioner
Practice location in NPPES

12155 Sw Tooze Rd
Sherwood, OR 971408441

Call 5035700147 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

12155 Sw Tooze Rd

Sherwood, OR 971408441

Telephone 5035700147
Organization at the Same NPPES Address or Phone
Victory Academy Facility NPI 1518345842

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

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 Sherwood and Oregon

5 active clinicians are listed under Behavior Analyst with a practice address in Sherwood, OR (1,425 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

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: 2021-07-28
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES OR 1-20-44236

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: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

2120 Sw Jefferson St Ste B200

Portland, OR 972017727

Phone: 5038676176

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location July 28, 2021

Registered at 12155 SW TOOZE RD, SHERWOOD, OR 971408441 (Tel: 5035700147)

πŸ“
Updated Business Mailing Address July 28, 2021

Registered at 15982 SW ROTH DR, BEAVERTON, OR 970782101 (Tel: 9099976529)

πŸ‘€
Provider Name / Credentials Updated July 28, 2021

Recorded as KATIE REXROAT, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2021

Behavior Analyst (license number reported to NPPES: OR 1-20-44236)

βœ…
NPI Profile Active March 20, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 20, 2017

Registered at 2120 SW JEFFERSON ST STE B200, PORTLAND, OR 972017727 (Tel: 5038676176)

πŸ“
Business Mailing Address (Initial Record) March 20, 2017

Registered at 14878 SW SCHOLLS FERRY RD AA-301, BEAVERTON, OR 97007

πŸ‘€
Provider Name / Credentials (Initial Record) March 20, 2017

Recorded as KATIE ANDERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2017

Behavior Technician

🟒
Initial NPI Registration & Enumeration March 20, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154862498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2017
Last Update: July 28, 2021
Sole Proprietor: No

Mailing Address

15982 Sw Roth Dr

Beaverton, OR 970782101

Phone: 9099976529

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.