Kimberly Ann Bennett, BEHAVIOR ANALYST

Individual provider Active NPI Behavior Analyst · Hollidaysburg, PA

NPI 1154664977 · NPPES record last updated Mar 29, 2013

Key facts

NPI
1154664977
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-13-12848 (PA)
Practice address
224 Bedford St
Hollidaysburg, PA 16648-1716
Phone
(814) 977-5345
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Center Behavior Analyst Past Accepting new patients
Journey Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-12848 PA Yes

Addresses

Primary practice location

224 Bedford St
Hollidaysburg, PA 16648-1716

Mailing address

224 Bedford St
Hollidaysburg, PA 16648-1716
Phone (814) 977-5345

Other providers in Hollidaysburg, PA

All providers in Hollidaysburg, PA · Behavior Analyst in Pennsylvania

Sources for this page

Verify at the official NPI Registry.