Active NPI
Natasha Kislyuk
- Behavior Analyst
- Burlington, MA
National Provider Identifier
1053048124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3005
- Practice address
- 67 S Bedford St Ste 101W
Burlington, MA 01803-5152 - Phone
- (413) 335-4076
- NPI assigned
- Aug 8, 2022
- 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 | 3005 | MA | Primary |
Addresses
Primary practice location
67 S Bedford St Ste 101W
Burlington, MA 01803-5152
Mailing address
35 Riverside St
Danvers, MA 01923-3721
Phone (413) 335-4076
Other practice location 1
100 Treble Cove Rd
North Billerica, MA 01862-2231
Phone (508) 233-2308
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3005 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Essential Skills Together | Behavior Analyst | Current | Accepting new patients |
| Building Essential Skills Together | Current | Accepting new patients |
Locations
100 Treble Cove Rd
North Billerica, MA 01862
Phone (508) 233-2308
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.
-
- Behavior Analyst
- North Billerica, MA
- NPI 1750894309
-
- Speech-Language Pathologist
- North Billerica, MA
- NPI 1841908399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1053048124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 RIVERSIDE ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233721",
"telephone_number": "413-335-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 S BEDFORD ST STE 101W",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018035152",
"telephone_number": "413-335-4076"
}
],
"practiceLocations": [
{
"address_1": "100 Treble Cove Rd",
"address_purpose": "LOCATION",
"city": "North Billerica",
"state": "MA",
"postal_code": "018622231",
"country_code": "US",
"telephone_number": "508-233-2308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISLYUK",
"first_name": "NATASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "3005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.