Individual provider Active NPI

Hannah Van Petten, BCBA

  • Behavior Analyst
  • Westfield, MA
National Provider Identifier
1306425319
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1029 North Road PMB 1016
Westfield, MA 01085
Phone
(508) 367-7788
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1029 North Road PMB 1016
Westfield, MA 01085

Mailing address

1029 North Road PMB 1016
Westfield, MA 01085
Phone (508) 367-7788

Other practice location 1

197 Piedmont Blvd Ste 205
Rock Hill, SC 29732-1846
Phone (803) 639-8066

Other practice location 2

20 High Hill St
Greenville, SC 29605-2007
Phone (508) 367-7788

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

OrganizationSpecialtyStatusNew patients
Kind Connections ABA LLC Behavior Analyst Current Accepting new patients
Comprehab LLC Behavior Analyst PastSince May 1, 2021 Accepting new patients

Locations

1029 North Rd
Westfield, MA 01085
Phone (413) 335-2525

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.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1306425319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 NORTH ROAD PMB 1016",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "01085",
            "telephone_number": "508-367-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 NORTH ROAD PMB 1016",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "01085",
            "telephone_number": "508-367-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Piedmont Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321846",
            "country_code": "US",
            "telephone_number": "803-639-8066",
            "fax_number": "803-366-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 High Hill St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296052007",
            "country_code": "US",
            "telephone_number": "508-367-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN PETTEN",
        "first_name": "HANNAH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.