Individual provider Active NPI

Kristina Harty, BCBA

  • Behavior Analyst
  • Andover, MA
National Provider Identifier
1033814702
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB246515 Issued in MA
Practice address
461 River Rd
Andover, MA 01810-4349
Phone
(978) 654-4300
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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 BACB246515 MA Primary

Addresses

Primary practice location

461 River Rd
Andover, MA 01810-4349

Mailing address

10305 Willow Bend Cir Apt 1a
Charlotte, NC 28210-8429
Phone (603) 339-1580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Consultation@melmarkne.org

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
BACB246515MAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1033814702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 WILLOW BEND CIR APT 1A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108429",
            "telephone_number": "603-339-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 RIVER RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104349",
            "telephone_number": "978-654-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTY",
        "first_name": "KRISTINA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "BACB246515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Consultation@melmarkne.org",
            "affiliation": "N",
            "address_1": "461 River Rd",
            "city": "Andover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018104349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.