Active NPI
Elizabeth Anne Kern, BA
- Behavior Analyst
- Waltham, MA
National Provider Identifier
1104142991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 460 Totten Pond Rd
Waltham, MA 02451-1991 - Phone
- (781) 895-3200
- NPI assigned
- Apr 19, 2010
- 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 | Primary |
Addresses
Primary practice location
460 Totten Pond Rd
Waltham, MA 02451-1991
Mailing address
334 Clyde St
Apt 2
Chestnut Hill, MA 02467-2910
Phone (617) 947-6018
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1104142991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 CLYDE ST",
"address_2": "APT 2",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672910",
"telephone_number": "617-947-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 TOTTEN POND RD",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511991",
"telephone_number": "781-895-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.