Individual provider Active NPI

Brittany Julie Young

  • Behavior Analyst
  • Kingston, PA
National Provider Identifier
1154089845
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB460932 Issued in PA
Practice address
1003 Wyoming Ave
Kingston, PA 18704-4002
Phone
(570) 764-0300
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 BACB460932 PA Primary

Addresses

Primary practice location

1003 Wyoming Ave
Kingston, PA 18704-4002

Mailing address

540 Blue Shutters Rd
Roaring Brook TWP, PA 18444-7621
Phone (570) 764-0300

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

State licenses

LicenseStateTypeSpecialty
BACB460932PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Behavior Consulting Behavior Analyst CurrentSince Dec 5, 2021 Accepting new patients
Beyond Behavior Consulting Behavior Analyst PastSince Dec 5, 2021 Accepting new patients

Locations

1003 Wyoming Ave
Kingston, PA 18704
Phone (570) 764-0300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1154089845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BLUE SHUTTERS RD",
            "city": "ROARING BROOK TWP",
            "state": "PA",
            "postal_code": "184447621",
            "telephone_number": "570-764-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044002",
            "telephone_number": "570-764-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRITTANY",
        "middle_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BACB460932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.