Individual provider Active NPI

Kasey Ann McBain, M.A., B.C.B.A.

  • Behavior Analyst
  • Tenafly, NJ
National Provider Identifier
1386344604
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB513968 Issued in NJ
Practice address
400 Tenafly Rd Unit 1092
Tenafly, NJ 07670-7052
Phone
(201) 777-4557
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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 BACB513968 NJ Primary

Addresses

Primary practice location

400 Tenafly Rd Unit 1092
Tenafly, NJ 07670-7052

Mailing address

309 Wyckoff Ave
Waldwick, NJ 07463-1234
Phone (201) 575-0247

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
BACB513968NJMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1386344604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WYCKOFF AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631234",
            "telephone_number": "201-575-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TENAFLY RD UNIT 1092",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076707052",
            "telephone_number": "201-777-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBAIN",
        "first_name": "KASEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., B.C.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "BACB513968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.