Individual provider Active NPI

Laura Kaitlyn Bevil, M.ED., BCBA

  • Behavior Analyst
  • Cherry Hill, NJ
National Provider Identifier
1104773258
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB919333 Issued in NJ
Practice address
101 E Gate Dr
Cherry Hill, NJ 08034-2803
Phone
(856) 810-7599
NPI assigned
Mar 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB919333 NJ Primary

Addresses

Primary practice location

101 E Gate Dr
Cherry Hill, NJ 08034-2803

Mailing address

513 5TH St
Somers Point, NJ 08244-2022
Phone (215) 205-0036

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

State licenses

LicenseStateTypeSpecialty
BACB919333NJMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1104773258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 5TH ST",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442022",
            "telephone_number": "215-205-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E GATE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342803",
            "telephone_number": "856-810-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVIL",
        "first_name": "LAURA",
        "middle_name": "KAITLYN",
        "name_prefix": "Ms.",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "BACB919333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.