Active NPI
Kaitlyn Mazza
- Behavior Analyst
- New Bern, NC
National Provider Identifier
1477196863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-37119
- Practice address
- 2129 S Glenburnie Rd Ste 17
New Bern, NC 28562-2240 - Phone
- (252) 341-4192
- Fax
- (866) 309-9297
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-37119 | Primary |
Addresses
Primary practice location
2129 S Glenburnie Rd Ste 17
New Bern, NC 28562-2240
Mailing address
308 Greenville Blvd SE Ste B1
Greenville, NC 27858-5758
Phone (252) 341-4192
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priorities ABA, PLLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Greenville, NC
- NPI 1942351234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1477196863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 GREENVILLE BLVD SE STE B1",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585758",
"telephone_number": "252-341-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 S GLENBURNIE RD STE 17",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622240",
"telephone_number": "252-341-4192",
"fax_number": "866-309-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZA",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-37119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.