Kenya M Small

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

201 Lackawanna Ave Ste 321
Scranton, PA 18503-1953

Phone

(833) 599-2560

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pennsylvania Comprehensive Behavioral Health Services, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Red Lion, PA
  • NPI 1114980489
  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1295471480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOWBIN AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015928",
            "telephone_number": "833-599-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LACKAWANNA AVE STE 321",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031953",
            "telephone_number": "833-599-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20B E Roseville Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013868",
            "country_code": "US",
            "telephone_number": "717-560-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KENYA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Slater, LMT
• Zahra Sleboda, PA-C
• Joseph F Slish, MS, LAT, ATC
• Steven Sluck, DO
• Mark S Slywka, D.O.
• Ashley Marie Smith, M.S., CCC-SLP
• Brian Thomas Smith, DO
• Catherine S Smith, MD
• David W Smith, CRNA
• Deanna Smith

• Behavior Analyst in Scranton, PA
• Providers in Scranton, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.