Kelsey J Dehaven, MA, BCBA, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56158

Practice address

1405 N Cedar Crest Blvd
Allentown, PA 18104-2308

Phone

(856) 346-0005

NPI assigned

Dec 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1750041679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 BUTZTOWN RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173222",
            "telephone_number": "484-226-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042308",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "KELSEY",
        "middle_name": "J",
        "credential": "MA, BCBA, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005707",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-56158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Defrees
• Renae N Defreitas, CRNP
• Joseph Defulvio, DO
• Amber Degezelle, PMHNP-BC
• Ellyssa Susan Degroot, PA-C
• John Howard Dehoff, MD
• Lana Elizabeth Deist, CRNP
• Danielle Deitrick, DO
• Maricelly Dejesus
• Rafael Delahoz, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.