Active NPI
Kimberly Fisk, MS, BCBA, LBS, LMT
- Behavior Analyst
- York, PA
National Provider Identifier
1770117764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-41153
- Practice address
- 25 Monument Rd Ste 96
York, PA 17403-5049 - Phone
- (717) 741-8660
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-41153 | PA | Primary |
| Massage Therapist | 225700000X | MSG014942 | PA |
Addresses
Primary practice location
25 Monument Rd Ste 96
York, PA 17403-5049
Mailing address
25 Monument Rd Ste 96
York, PA 17403-5049
Phone (717) 741-8660
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSG014942 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761955200000",
"number": "1770117764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MONUMENT RD STE 96",
"city": "YORK",
"state": "PA",
"postal_code": "174035049",
"telephone_number": "717-741-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MONUMENT RD STE 96",
"city": "YORK",
"state": "PA",
"postal_code": "174035049",
"telephone_number": "717-741-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISK",
"first_name": "KIMBERLY",
"credential": "MS, BCBA, LBS, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2025-11-01",
"certification_date": "2025-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-20-41153",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG014942",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.