Carly Kehler, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

514 W Moore St
Hackettstown, NJ 07840-2144

Phone

(908) 229-7693

Fax

(908) 864-0090

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carly Wagoner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moving Mountains ABA LLC

  • Behavior Analyst
  • Hackettstown, NJ
  • NPI 1285174334
  NPD Authorized official

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1447536149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W MOORE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402144",
            "telephone_number": "908-229-7693",
            "fax_number": "908-864-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W MOORE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402144",
            "telephone_number": "908-229-7693",
            "fax_number": "908-864-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHLER",
        "first_name": "CARLY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "WAGONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan K. Kasper, PH.D.
• Barton Jack Kaufman, DMD
• Kavaris LLC
• Sanjay Kavathia, M.D.
• Ksymena Kedzierska, MD
• Carissa Jean Keller, PSY.D.
• Denise Marie Kelly-Jones, RN, MS, CCRN, NP-C
• Dina Kelly, LPC
• Kenneth Janowski, DO LLC
• Heather Kerner, BCBA

• All providers in Hackettstown, NJ
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.