NPIMap

Organization Active NPI

KBC Dynamics

  • Behavior Analyst
  • Marshfield, MA
National Provider Identifier
1326495722
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000000875 Issued in MA
Legal business name
KBC DYNAMICS
Practice address
56 Allan St
Marshfield, MA 02050-5102
Phone
(508) 965-5778
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Kerri Connell, M.S. ED. BCBANPI 1568834752
Title
Board Certified Behavior Analyst
Phone
(508) 965-5778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 000000875 MA Primary

Addresses

Primary practice location

56 Allan St
Marshfield, MA 02050-5102

Mailing address

56 Allan St
Marshfield, MA 02050-5102
Phone (508) 965-5778

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1326495722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ALLAN ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020505102",
            "telephone_number": "508-965-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ALLAN ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020505102",
            "telephone_number": "508-965-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBC DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "508-965-5778",
        "authorized_official_credential": "M.S. ED. BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "000000875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.