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KAITLYN RUDOLPH
NPI 1114626926
Behavior Analyst in Peoria, IL

Active since March 01, 2023
507 E ARMSTRONG AVE, PEORIA, IL 61603(309) 686-1177 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 13, 2024, Mar 1, 2023 (2 updates tracked since 2023).

About Kaitlyn Rudolph NPPES

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

KAITLYN RUDOLPH (NPI 1114626926) is an individual behavior analyst provider in Peoria, Illinois, licensed in Illinois (1-24-77506) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1114626926
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKAITLYN RUDOLPH
Location Address507 E ARMSTRONG AVEPeoria, IL 61603-3201
Mailing Address507 E Armstrong AvePeoria, IL 61603-3201 · (309) 686-1177
Phone(309) 686-1177
Sole ProprietorNo
Enumeration DateMarch 1, 2023
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1114626926 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 IL · 1-24-77506
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
507 E ARMSTRONG AVE, Peoria, IL 61603
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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.

MR. KRISTIN M FAULKNER
Speech-Language Pathologist
507 E ARMSTRONG AVE
PEORIA, IL 61603
Peoria County (309) 686-1177
DAYSANI NICHOLS
Behavior Technician
507 E ARMSTRONG AVE
PEORIA, IL 61603
Peoria County (309) 686-1177
VANESSA L HALSTEAD PHYSICAL THERAPIST
Physical Therapist
507 E ARMSTRONG AVE
PEORIA, IL 61603
Peoria County (309) 686-1177
CAROLINE SHIVELY M.S. CCC-SLP
Speech-Language Pathologist
507 E ARMSTRONG AVE
PEORIA, IL 61603
Peoria County (309) 686-1177
KENDRA KAUFMANN
Behavior Technician
507 E ARMSTRONG AVE
PEORIA, IL 61603
Peoria County (309) 686-1177
MS. HOLLY NICOLE MARTIN BCBA
Behavior Analyst
507 E ARMSTRONG AVE
PEORIA, IL 61603
Peoria County (309) 686-1177
ANNE BOYLE
Behavior Technician
507 E ARMSTRONG AVE
PEORIA, IL 61603
Peoria County (309) 686-1177
ANDREA SMITH RBT
Behavior Technician
507 E ARMSTRONG AVE
PEORIA, IL 61603
Peoria County (309) 686-1177

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 Rudolph's NPI number?

The NPI number for Kaitlyn Rudolph is 1114626926. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Kaitlyn Rudolph located?

Kaitlyn Rudolph practices at 507 E Armstrong Ave, Peoria, IL 61603. The listed phone number is (309) 686-1177.

What is Kaitlyn Rudolph'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 Rudolph was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.