Individual provider Active NPI

Amy Kittredge, BCBA

  • Behavior Analyst
  • Ashland, NH
National Provider Identifier
1508302126
Registry record updated Jan 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23800 Issued in NH
Practice address
23 West St
Unit #3
Ashland, NH 03217-4219
Phone
(603) 305-5650
NPI assigned
Jan 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2017

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 1-16-23800 NH Primary

Addresses

Primary practice location

23 West St
Unit #3
Ashland, NH 03217-4219

Mailing address

17 Brook Rd
Litchfield, NH 03052-1041
Phone (603) 305-5650

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": "1483747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483747200000",
    "number": "1508302126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BROOK RD",
            "city": "LITCHFIELD",
            "state": "NH",
            "postal_code": "030521041",
            "telephone_number": "603-305-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WEST ST",
            "address_2": "UNIT #3",
            "city": "ASHLAND",
            "state": "NH",
            "postal_code": "032174219",
            "telephone_number": "603-305-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTREDGE",
        "first_name": "AMY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-07",
        "last_updated": "2017-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-16-23800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; 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.