Active NPI
Kristen M Cann, BSL
- Behavior Analyst
- Philadelphia, PA
National Provider Identifier
1376165480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH003792
- Practice address
- 3905 Ford Rd
Philadelphia, PA 19131-2824 - Phone
- (215) 878-3400
- NPI assigned
- May 12, 2020
- Last updated
- May 12, 2020
- Sex
- Female
- Sole proprietor
- No
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 | BH003792 | PA | Primary |
Addresses
Primary practice location
3905 Ford Rd
Philadelphia, PA 19131-2824
Mailing address
1100 Newportville Rd Apt 435
Croydon, PA 19021-5029
Phone (267) 393-0801
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
- Credentials
- Bachelor of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH003792 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1376165480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NEWPORTVILLE RD APT 435",
"city": "CROYDON",
"state": "PA",
"postal_code": "190215029",
"telephone_number": "267-393-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 FORD RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312824",
"telephone_number": "215-878-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANN",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "BSL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH003792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.