Kathryn Himelreich, MSED, LBS

Key facts

NPI

1609255504

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

License

BH001467 (PA)

Practice address

3839 Skippack Pike
2ND Floor West
Skippack, PA 19474

Phone

(302) 377-8945

NPI assigned

May 26, 2015

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 26, 2015.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1609255504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740895",
            "telephone_number": "302-377-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 SKIPPACK PIKE",
            "address_2": "2ND FLOOR WEST",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "19474",
            "telephone_number": "302-377-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMELREICH",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MSED, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Skippack, PA · Behavior Analyst in Pennsylvania