Melissa Kistle, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36423 Issued in NJ

Practice address

6 Druid LN
Hamburg, NJ 07419-9718

Phone

(973) 600-6033

NPI assigned

Dec 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: mkistle@ivloud.com

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1033758008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DRUID LN",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074199718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DRUID LN",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074199718",
            "telephone_number": "973-600-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLE",
        "first_name": "MELISSA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-19-36423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mkistle@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Druid Ln",
            "city": "Hamburg",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074199718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mkistle@ivloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Druid Ln",
            "city": "Hamburg",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074199718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkistle@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Druid Ln",
            "city": "Hamburg",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074199718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judy L Spinney, LCSW, LLC
• Peter Bernard Karas, D.C.
• David Mark Karlberg, LCSW
• Caitlin Ann Kearney
• Elizabeth A Kinard, M.S.
• Nikolaos Kritharis, DMD
• Madison Lacken
• Scott Robert Leiter, ATC
• Skylar Lewis
• Margaret Mary Lindsley, LPC

• Behavior Analyst in Hamburg, NJ
• Providers in Hamburg, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.