Active NPI
Kacie Krontz, RBT
- Behavior Technician
- Hudson, OH
National Provider Identifier
1205692167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-329320
- Practice address
- 1742 Georgetown Rd Ste Aandb
Hudson, OH 44236-5006 - Phone
- (330) 603-8534
- NPI assigned
- Feb 27, 2024
- 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 Technician | 106S00000X | RBT-24-329320 | OH | Primary |
Addresses
Primary practice location
1742 Georgetown Rd Ste Aandb
Hudson, OH 44236-5006
Mailing address
1325 Onondago Ave
Akron, OH 44305-1841
Phone (419) 905-6541
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeanine@pivotalabatherapy.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-329320 | OH | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1205692167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 ONONDAGO AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443051841",
"telephone_number": "419-905-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1742 GEORGETOWN RD STE AANDB",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365006",
"telephone_number": "330-603-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONTZ",
"first_name": "KACIE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "RBT-24-329320",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeanine@pivotalabatherapy.com",
"affiliation": "N",
"address_1": "1742 Georgetown Rd Ste Aandb",
"city": "Hudson",
"state": "OH",
"country_code": "US",
"postal_code": "442365006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.