Angel Marie Kennedy, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27211 Issued in CT

Practice address

351 Pleasant St Ste B126
Northampton, MA 01060

Phone

(413) 262-3721

NPI assigned

Dec 20, 2017

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

Other names 1

• Angel Marie McNamara Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Autism Behavior and Learning Experience

  • Behavior Analyst
  • Holyoke, MA
  • NPI 1659823227
  NPD (past)

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1700392289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 HOPMEADOW ST # 129",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060705405",
            "telephone_number": "413-262-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PLEASANT ST STE B126",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-262-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ANGEL",
        "middle_name": "MARIE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-17-27211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "MCNAMARA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Kelly, M.D.
• Leslie R Kelly, APRN
• Marguerite Ann Kelly, LICSW
• Matthew P Kelly, LMHC
• Wanda Lee Kelly
• Nora Larson Kennedy
• William John Kennedy, MA,CCC-SLP
• Erin Kenny, DPT
• Peter C. Kenny, MD
• Kens' Eyewear Inc.

• Behavior Analyst in Northampton, MA
• Providers in Northampton, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.