Kerry Rae Gansworth, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50026 Issued in PA

Practice address

301 E City Ave Ste 210
Bala Cynwyd, PA 19004-1734

Phone

(856) 827-7630

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1679297006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALLISON DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032309",
            "telephone_number": "856-827-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE STE 210",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041734",
            "telephone_number": "856-827-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSWORTH",
        "first_name": "KERRY RAE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-21-50026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Gallagher, D.O.
• Mackenzie Gallant
• Jill S. Galper, PT
• Parth Atul Gandhi
• Richard Ganley, PH.D.
• Carol A. Gantman, PH. D.
• Gregory David Garber, MSW
• Jeffrey G Garber, D.M.D., MBE, LLC
• Robert Garfield, MD
• Richard Martin Gash, MD

• Behavior Analyst in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.