Individual provider Active NPI

Kelly Beth Farone, BCBA, LBA

  • Behavior Analyst
  • Halfmoon, NY
National Provider Identifier
1306573357
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000166 Issued in NY
Practice address
7 Corporate Dr
Halfmoon, NY 12065-8612
Phone
(518) 212-7559
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 166 NY
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 000166 NY Primary

Addresses

Primary practice location

7 Corporate Dr
Halfmoon, NY 12065-8612

Mailing address

14 Tryon St
Schenectady, NY 12302-5817
Phone (678) 977-7840

Other practice location 1

14 Tryon St
Schenectady, NY 12302-5817
Phone (678) 977-7840

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
166NYMDBehavioral Analyst
000166NYMDRadiology Practitioner Assistant

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1306573357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TRYON ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123025817",
            "telephone_number": "678-977-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CORPORATE DR",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120658612",
            "telephone_number": "518-212-7559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Tryon St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123025817",
            "country_code": "US",
            "telephone_number": "678-977-7840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARONE",
        "first_name": "KELLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "166",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.