Individual provider Active NPI

Kristine Quinby, BCBA

  • Behavior Analyst
  • Newtown, PA
National Provider Identifier
1033440433
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH000691 Issued in PA
Practice address
170 Pheasant Run
Suite 100
Newtown, PA 18940-1877
Phone
(215) 579-0670
Fax
(215) 579-6960
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH000691 PA Primary

Addresses

Primary practice location

170 Pheasant Run
Suite 100
Newtown, PA 18940-1877

Mailing address

170 Pheasant Run
Suite 100
Newtown, PA 18940-1877
Phone (215) 579-0670

Other practice location 1

626 Jacksonville Rd Ste 156
Warminster, PA 18974-4872
Phone (215) 579-0670 ext. 2

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

State licenses

LicenseStateTypeSpecialty
BH000691PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Potential Inc. Behavior Analyst PastSince Feb 24, 2022 Accepting new patients
Potential Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1033440433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PHEASANT RUN",
            "address_2": "SUITE 100",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401877",
            "telephone_number": "215-579-0670",
            "fax_number": "215-579-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PHEASANT RUN",
            "address_2": "SUITE 100",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401877",
            "telephone_number": "215-579-0670",
            "fax_number": "215-579-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Jacksonville Rd Ste 156",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189744872",
            "country_code": "US",
            "telephone_number": "215-579-0670 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINBY",
        "first_name": "KRISTINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.