Active NPI
Kevin M McNamara, BCBA
- Behavior Analyst
- Minersville, PA
National Provider Identifier
1669798914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-6458
- Practice address
- 600 Lytle St
Minersville, PA 17954-1813 - Phone
- (570) 622-6417
- Fax
- (570) 622-3230
- NPI assigned
- Apr 12, 2010
- Sex
- Male
- 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 | 1-09-6458 | PA | Primary |
Addresses
Primary practice location
600 Lytle St
Minersville, PA 17954-1813
Mailing address
600 Lytle St
Minersville, PA 17954-1813
Phone (570) 622-6417
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 |
|---|---|---|---|
| Behavior Analysis & Therapeutic Associates, Inc. | 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
- Spring Glen, PA
- NPI 1003194184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1669798914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LYTLE ST",
"city": "MINERSVILLE",
"state": "PA",
"postal_code": "179541813",
"telephone_number": "570-622-6417",
"fax_number": "570-622-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LYTLE ST",
"city": "MINERSVILLE",
"state": "PA",
"postal_code": "179541813",
"telephone_number": "570-622-6417",
"fax_number": "570-622-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "KEVIN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-12",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-09-6458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.