NPIMap

Organization Active NPI

K.W. Behavioral Consulting, LLC

  • Behavior Analyst
  • Newtown, PA
National Provider Identifier
1063878353
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11416036 Issued in PA
Legal business name
K.W. BEHAVIORAL CONSULTING, LLC
Practice address
154 Greenbriar LN
Newtown, PA 18940-1681
Phone
(215) 704-9224
Fax
(866) 455-9086
NPI assigned
Jan 3, 2016
Last updated
Jan 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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

Authorized official

Name
Kaitlin Walczak, M.A., BCBANPI 1740679638
Title
Owner
Phone
(215) 704-9224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11416036 PA Primary

Addresses

Primary practice location

154 Greenbriar LN
Newtown, PA 18940-1681

Mailing address

154 Greenbriar LN
Newtown, PA 18940-1681
Phone (215) 704-9224

National Provider Directory

National Provider Directory

Locations

140 Terry Dr
Ste 105
Newtown, PA 18940
Phone (215) 704-9224

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1063878353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 GREENBRIAR LN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401681",
            "telephone_number": "215-704-9224",
            "fax_number": "866-455-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 GREENBRIAR LN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401681",
            "telephone_number": "215-704-9224",
            "fax_number": "866-455-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.W. BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-704-9224",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "11416036",
            "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 Jan 3, 2016; 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.