MS. KATHY L PENDERGRAFT
NPI 1083055933
Behavior Analyst in Antlers, OK

Q: What is Kathy Pendergraft's NPI number?

The NPI number for Kathy Pendergraft is 1083055933. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Q: What is Kathy Pendergraft's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Pendergraft was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment

112 N HIGH ST, ANTLERS, OK 74523(580) 298-3001(580) 298-5357 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Kathy L Pendergraft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHY L PENDERGRAFT (NPI 1083055933) is an individual behavior analyst provider in Antlers, Oklahoma and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083055933

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMS. KATHY L PENDERGRAFT

Location Address112 N HIGH STAntlers, OK 74523-2250

Mailing AddressPo Box 309Antlers, OK 74523-0309 · (580) 298-3001 · Fax (580) 298-5357

Phone(580) 298-3001

Fax(580) 298-5357

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 8, 2013

Last NPPES UpdateJanuary 27, 2020

✔ NPI 1083055933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X

112 N HIGH ST, Antlers, OK 74523

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathy L Pendergraft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557714169

PECOS Enrollment IDI20240131001162

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE E WILLIAMSON

Behavior Analyst