Active NPI
Katie Elizabeth Kennedy
- Behavior Analyst
- Union, NJ
National Provider Identifier
1104407600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1050 Galloping Hill Rd Ste 205
Union, NJ 07083-7980 - Phone
- (908) 686-1505
- NPI assigned
- Apr 16, 2021
- 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 | Primary |
Addresses
Primary practice location
1050 Galloping Hill Rd Ste 205
Union, NJ 07083-7980
Mailing address
1316 Summit Ter
Linden, NJ 07036-3916
Phone (908) 468-4907
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": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1104407600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 SUMMIT TER",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070363916",
"telephone_number": "908-468-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 GALLOPING HILL RD STE 205",
"city": "UNION",
"state": "NJ",
"postal_code": "070837980",
"telephone_number": "908-686-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "KATIE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2021-04-16",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.