Active NPI
Kaitlin Ellis, BCBA
- Behavior Analyst
- Ashland, NH
National Provider Identifier
1093418998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-64648
- Practice address
- 23 West St
Ashland, NH 03217-4219 - Phone
- (603) 968-7452
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 1-23-64648 | NH | Primary |
Addresses
Primary practice location
23 West St
Ashland, NH 03217-4219
Mailing address
115 Winnipesaukee St
Franklin, NH 03235-1922
Phone (603) 998-8297
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1093418998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 WINNIPESAUKEE ST",
"city": "FRANKLIN",
"state": "NH",
"postal_code": "032351922",
"telephone_number": "603-998-8297",
"fax_number": "603-968-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WEST ST",
"city": "ASHLAND",
"state": "NH",
"postal_code": "032174219",
"telephone_number": "603-968-7452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "KAITLIN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NH",
"license": "1-23-64648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.