Active NPI
Kelly Robin Gansarski, BCBA
- Behavior Analyst
- Tobyhanna, PA
National Provider Identifier
1023374105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-03-1139
- Practice address
- 279 Laurel Dr
Tobyhanna, PA 18466-9503 - Phone
- (570) 561-9378
- NPI assigned
- Apr 3, 2012
- Last updated
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-03-1139 | PA | Primary |
Addresses
Primary practice location
279 Laurel Dr
Tobyhanna, PA 18466-9503
Mailing address
279 Laurel Dr
Tobyhanna, PA 18466-9503
Phone (570) 561-9378
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn Health, LLC. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Coral Gables, FL
- NPI 1801494679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1023374105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 LAUREL DR",
"city": "TOBYHANNA",
"state": "PA",
"postal_code": "184669503",
"telephone_number": "570-561-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 LAUREL DR",
"city": "TOBYHANNA",
"state": "PA",
"postal_code": "184669503",
"telephone_number": "570-561-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANSARSKI",
"first_name": "KELLY",
"middle_name": "ROBIN",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-03-1139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tobyhanna, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.