Individual provider Active NPI

Kelsie Hall, BHT

  • Behavior Technician
  • Mechanicsburg, PA
National Provider Identifier
1194223123
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-24492 Issued in PA
Practice address
20 Bella Vista Dr
Mechanicsburg, PA 17050-1879
Phone
(717) 612-2282
NPI assigned
Jan 24, 2018
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-24492 PA Primary

Addresses

Primary practice location

20 Bella Vista Dr
Mechanicsburg, PA 17050-1879

Mailing address

20 Bella Vista Dr
Mechanicsburg, PA 17050-1879
Phone (717) 612-2282

Other practice location 1

29 Tannery Rd
Dillsburg, PA 17019-9673
Phone (844) 588-4222

Other identifiers 1

IdentifierTypeStateIssuer
RBT-16-24492OtherPAAPPLIED BEHAVIOR ANALYSIS - REGISTERED BEHAVIOR TECHNICIAN

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
RBT-16-24492PAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
All Bright ABA LLC CurrentSince Mar 28, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1194223123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BELLA VISTA DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501879",
            "telephone_number": "717-612-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BELLA VISTA DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501879",
            "telephone_number": "717-612-2282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Tannery Rd",
            "address_purpose": "LOCATION",
            "city": "Dillsburg",
            "state": "PA",
            "postal_code": "170199673",
            "country_code": "US",
            "telephone_number": "844-588-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KELSIE",
        "credential": "BHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "RBT-16-24492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLIED BEHAVIOR ANALYSIS - REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "RBT-16-24492",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.