Kinney Center for Autism Education and Support

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1063173 Issued in PA

Legal business name

KINNEY CENTER FOR AUTISM EDUCATION AND SUPPORT

Practice address

5600 City Ave
Philadelphia, PA 19131-1308

Phone

(610) 660-2170

Fax

(610) 660-2175

NPI assigned

Jun 8, 2011

Organization subpart

Yes

Parent organization

SAINT JOSEPH'S UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Michelle Rowe, PHD

Title

Executive Director

Phone

(610) 660-2170

Specialties & licenses 3

Addresses

Part of

Kinney Center for Autism Education and Support

Locations

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1629362538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311308",
            "telephone_number": "610-660-2170",
            "fax_number": "610-660-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311308",
            "telephone_number": "610-660-2170",
            "fax_number": "610-660-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNEY CENTER FOR AUTISM EDUCATION AND SUPPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH'S UNIVERSITY",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-660-2170",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1063173",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "OP102029",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007950L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahira Malika Kinlaw
• Jenny Beth Kinnard, CRNP
• Moya Kinnealey, O.T.
• Lauren Kinneman, D.O
• Margaret Kinnevy, DAC, RN, LAC
• Kinni Eyecare, Inc.
• Joan H Kinniry, CRNP
• Paul A Kinniry, MD
• Bruce Paul Kinosian, MD
• Tara Danielle Kinra, M.D.

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.