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KAITLYN BRADSHAW BCBA
NPI 1093295032
Behavior Analyst in Rock Valley, IA

Active since August 20, 2018
745 10TH ST STE C, ROCK VALLEY, IA 51247(712) 454-3484 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Jun 1, 2021, Aug 20, 2018 (3 updates tracked since 2018).

About Kaitlyn Bradshaw Bcba NPPES

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

KAITLYN BRADSHAW BCBA (NPI 1093295032) is an individual behavior analyst provider in Rock Valley, Iowa, licensed in Louisiana (1-20-45677) and active in the NPI registry since August 2018. She maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1093295032
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKAITLYN BRADSHAWCredential: BCBA
Location Address745 10TH ST STE CRock Valley, IA 51247-1511
Mailing Address1105 W Russell StSioux Falls, SD 57104-1322 · (605) 271-2690
Phone(712) 454-3484
Sole ProprietorYes
Enumeration DateAugust 20, 2018
Last NPPES UpdateJuly 12, 20213 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1093295032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in LA · 1-20-45677
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 ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-18-57026 (LA)
745 10TH ST STE C, Rock Valley, IA 51247
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Secondary Practice Location 1

Location 12522 E 70th StShreveport, LA 71105-4002 · Phone (318) 795-3388

Other Identifiers 1

Medicaid2455559LA

Other Providers at the Same Location NPPES 3

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

AARON MARC VANWYHE DC
Chiropractor
745 10TH ST STE C
ROCK VALLEY, IA 51247
Sioux County (712) 541-5053
EUGENE NDURU BCBA
Behavior Analyst
745 10TH ST STE C
ROCK VALLEY, IA 51247
Sioux County (605) 271-2690
CHIROSPORT ROCK VALLEY, PC
Chiropractor
745 10TH ST STE C
ROCK VALLEY, IA 51247
Sioux County (712) 476-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Bradshaw's NPI number?

The NPI number for Kaitlyn Bradshaw is 1093295032. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Kaitlyn Bradshaw located?

Kaitlyn Bradshaw practices at 745 10th St Ste C, Rock Valley, IA 51247. The listed phone number is (712) 454-3484.

What is Kaitlyn Bradshaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaitlyn Bradshaw was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.