Daniel P Kilgallon, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23939

Practice address

12 Highland Ave
Marmora, NJ 08223-1726

Phone

(610) 322-3319

NPI assigned

Jul 20, 2017

Sex

Male

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

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1336662485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CENTENNIAL BLVD UNIT 1345",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080436056",
            "telephone_number": "610-322-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HIGHLAND AVE",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231726",
            "telephone_number": "610-322-3319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3121-D Fire Rd, Box 124",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082349619",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGALLON",
        "first_name": "DANIEL",
        "middle_name": "P",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-23639",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-23939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Hutchison, MD
• Lisa Irvolino
• Justice Counseling Services LLC
• Kalniz Dental Partners of New Jersey PC
• Raymond Walter Keller Jr., DO
• KLM Surgical Assistant
• Cristine Knight, LSW
• Christopher Leroy Knupp, DMD
• Justin Michael Kulp, PT
• Beatriz Lara

• Behavior Analyst in Marmora, NJ
• Providers in Marmora, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.