Heidi Elizabeth Keppler, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-06-2865 Issued in PA

Practice address

253 Iron Lake Dr
Exton, PA 19341-2774

Phone

(973) 943-1733

Fax

(484) 872-8702

NPI assigned

Apr 26, 2010

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

• Heidi Elizabeth Light Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1760709067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 IRON LAKE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412774",
            "telephone_number": "973-943-1733",
            "fax_number": "484-872-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 IRON LAKE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412774",
            "telephone_number": "973-943-1733",
            "fax_number": "484-872-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPLER",
        "first_name": "HEIDI",
        "middle_name": "ELIZABETH",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-06-2865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "LIGHT",
            "middle_name": "ELIZABETH",
            "credential": "M.ED., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.