Active NPI
Hal Houseworth, BCBA
- Behavior Analyst
- Kettering, OH
National Provider Identifier
1306180211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-10444
- Practice address
- 5963 Kentshire Dr # a
Kettering, OH 45440-4253 - Phone
- (937) 545-2763
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-12-10444 | Primary |
Addresses
Primary practice location
5963 Kentshire Dr # a
Kettering, OH 45440-4253
Mailing address
10130 S Cliff Swallow CT
Miamisburg, OH 45342-0849
Phone (937) 545-2763
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Behavior Services, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
5963 Kentshire Dr
#A
Dayton, OH 45440
Phone (937) 545-2763
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 and National Provider Directory roles.
-
- Behavior Analyst
- Kettering, OH
- NPI 1396164745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1306180211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 S CLIFF SWALLOW CT",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453420849",
"telephone_number": "937-545-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5963 KENTSHIRE DR # A",
"city": "KETTERING",
"state": "OH",
"postal_code": "454404253",
"telephone_number": "937-545-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSEWORTH",
"first_name": "HAL",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2023-02-17",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-12-10444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.