Active NPI
Kyra Marie Weaver, M.S. LBS
- Behavior Analyst
- Wynnewood, PA
National Provider Identifier
1003737214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH008628
- Practice address
- 930 Bowman Ave
Wynnewood, PA 19096-1600 - Phone
- (610) 667-3958
- NPI assigned
- Jul 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH008628 | PA | Primary |
Addresses
Primary practice location
930 Bowman Ave
Wynnewood, PA 19096-1600
Mailing address
45 E City Ave # 2132
Bala Cynwyd, PA 19004-2421
Phone (609) 331-9043
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1003737214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E CITY AVE # 2132",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042421",
"telephone_number": "609-331-9043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 BOWMAN AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190961600",
"telephone_number": "610-667-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "KYRA",
"middle_name": "MARIE",
"credential": "M.S. LBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH008628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.