Individual provider Active NPI

Heidi Kristin Bucks, M.ED.

  • Assistant Behavior Analyst
  • Bethlehem, PA
National Provider Identifier
1083200653
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
224 Nazareth Pike Unit 22a
Bethlehem, PA 18020-9084
Phone
(610) 365-8373
Fax
(610) 632-8638
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

224 Nazareth Pike Unit 22a
Bethlehem, PA 18020-9084

Mailing address

246 E Walnut St
Bethlehem, PA 18018-6240
Phone (610) 698-6304

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1083200653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 E WALNUT ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186240",
            "telephone_number": "610-698-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 NAZARETH PIKE UNIT 22A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209084",
            "telephone_number": "610-365-8373",
            "fax_number": "610-632-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKS",
        "first_name": "HEIDI",
        "middle_name": "KRISTIN",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.