Individual provider Active NPI

Kerry Sieber, BCBA

  • Behavior Analyst
  • Cincinnati, OH
National Provider Identifier
1598185183
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
COBA.10121 Issued in OH
Practice address
4850 Madison Rd
Cincinnati, OH 45227-1428
Phone
(513) 861-0300
Fax
(513) 861-0213
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 COBA.10121 OH Primary

Addresses

Primary practice location

4850 Madison Rd
Cincinnati, OH 45227-1428

Mailing address

4850 Madison Rd
Cincinnati, OH 45227-1428
Phone (513) 861-0300

Other identifiers 2

IdentifierTypeStateIssuer
0302618MedicaidOH
0005838MedicaidOH

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
COBA.10121OHMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1598185183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271428",
            "telephone_number": "513-861-0300",
            "fax_number": "513-861-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271428",
            "telephone_number": "513-861-0300",
            "fax_number": "513-861-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBER",
        "first_name": "KERRY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.10121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302618",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005838",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.