Individual provider Active NPI

Kristen Ann Knarr, MA

  • Behavior Technician
  • Du Bois, PA
National Provider Identifier
1003505512
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BH Issued in PA
Practice address
25 E Park Ave Ste 8
Du Bois, PA 15801-2271
Phone
(814) 371-3763
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BH PA Primary

Addresses

Primary practice location

25 E Park Ave Ste 8
Du Bois, PA 15801-2271

Mailing address

1128 Delarme Rd
Du Bois, PA 15801-4330
Phone (814) 603-7874

Other practice location 1

635 Maple Ave.
DuBois, PA 15801-1580
Phone (814) 375-6370

Other identifiers 1

IdentifierTypeStateIssuer
BH006358OtherPABEHAVIOR SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BHPAMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1003505512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 DELARME RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158014330",
            "telephone_number": "814-603-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E PARK AVE STE 8",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012271",
            "telephone_number": "814-371-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Maple Ave.",
            "address_purpose": "LOCATION",
            "city": "DuBois",
            "state": "PA",
            "postal_code": "158011580",
            "country_code": "US",
            "telephone_number": "814-375-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNARR",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "BH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR SPECIALIST",
            "identifier": "BH006358",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.