Individual provider Active NPI

Kerri Ellen Haley Garrett, BCBA

  • Behavior Analyst
  • New Port Richey, FL
National Provider Identifier
1437390200
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3301 Issued in FL
Practice address
11515 Bathgate CT
New Port Richey, FL 34654-4586
Phone
(727) 452-7500
NPI assigned
Mar 9, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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 1-07-3301 FL Primary

Addresses

Primary practice location

11515 Bathgate CT
New Port Richey, FL 34654-4586

Mailing address

PO Box 1081
Oldsmar, FL 34677-1081
Phone (727) 452-7500

Other names 1

  • Kerri Ellen Haley Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1437390200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346771081",
            "telephone_number": "727-452-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 BATHGATE CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346544586",
            "telephone_number": "727-452-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY GARRETT",
        "first_name": "KERRI",
        "middle_name": "ELLEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-07-3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "HALEY",
            "middle_name": "ELLEN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.