Active NPI
Kaytlin Roser
- Behavior Analyst
- Wexford, PA
National Provider Identifier
1689282451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2863
- Practice address
- 11269 Perry Hwy Ste 131133
Wexford, PA 15090-9388 - Phone
- (856) 346-0005
- NPI assigned
- Jul 17, 2020
- Last updated
- Mar 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 2863 | TX | Primary |
Addresses
Primary practice location
11269 Perry Hwy Ste 131133
Wexford, PA 15090-9388
Mailing address
2000 Barney LN Apt 2307
Cranberry Township, PA 16066-1912
Phone (814) 657-3925
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2863 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNNH Therapy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1689282451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 BARNEY LN APT 2307",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160661912",
"telephone_number": "814-657-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11269 PERRY HWY STE 131133",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909388",
"telephone_number": "856-346-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSER",
"first_name": "KAYTLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "2863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.