NPIMap

Individual provider Active NPI

Kathleen McCabe-Odri, ED.D., BCBA

  • Behavior Analyst
  • Williamstown, NJ
National Provider Identifier
1457676199
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5171 Issued in NJ
Practice address
1880 Glassboro Rd
Williamstown, NJ 08094-8721
Phone
(856) 881-0400
Fax
(856) 374-4060
NPI assigned
Apr 6, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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 1-09-5171 NJ Primary

Addresses

Primary practice location

1880 Glassboro Rd
Williamstown, NJ 08094-8721

Mailing address

1880 Glassboro Rd
Williamstown, NJ 08094-8721
Phone (856) 881-0400

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance, Inc. Behavior Analyst Past Accepting new patients
Partners in Learning, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1457676199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 GLASSBORO RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948721",
            "telephone_number": "856-881-0400",
            "fax_number": "856-374-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 GLASSBORO RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948721",
            "telephone_number": "856-881-0400",
            "fax_number": "856-374-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE-ODRI",
        "first_name": "KATHLEEN",
        "credential": "ED.D., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-09-5171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.