Individual provider Active NPI

Gentil Kalisa, LBS

  • Behavior Analyst
  • Lancaster, PA
National Provider Identifier
1467318360
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH008213 Issued in PA
Practice address
1848 Charter LN Ste 103
Lancaster, PA 17601-5896
Phone
(717) 280-6460
NPI assigned
Jan 5, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X BH008213 PA Primary

Addresses

Primary practice location

1848 Charter LN Ste 103
Lancaster, PA 17601-5896

Mailing address

1848 Charter LN Ste 103
Lancaster, PA 17601-5896
Phone (717) 280-6460

Other identifiers 1

IdentifierTypeStateIssuer
32272716OtherPADL

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

State licenses

LicenseStateTypeSpecialty
BH008213PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1467318360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 CHARTER LN STE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015896",
            "telephone_number": "717-280-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 CHARTER LN STE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015896",
            "telephone_number": "717-280-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISA",
        "first_name": "GENTIL",
        "credential": "LBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH008213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "32272716",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.