Active NPI
Kelli Heon
- Behavior Analyst
- East Brookfield, MA
National Provider Identifier
1790209039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 103 Mechanic St # 484
East Brookfield, MA 01515-9800 - Phone
- (413) 459-9565
- Fax
- (833) 431-1244
- NPI assigned
- Jul 28, 2017
- Last updated
- Jul 21, 2022
- 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 | Primary |
Addresses
Primary practice location
103 Mechanic St # 484
East Brookfield, MA 01515-9800
Mailing address
409 Main St Ste 121
Amherst, MA 01002-2347
Phone (413) 461-7120
Other practice location 1
409 Main St Ste 121
Amherst, MA 01002-2347
Phone (413) 461-7120
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Assist Inc | Behavior Analyst | Current | Accepting new patients |
| Applied Behavioral Analysis Services | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- North Brookfield, MA
- NPI 1679197727
-
- Behavior Analyst
- Amherst, MA
- NPI 1841716933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1790209039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 MAIN ST STE 121",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022347",
"telephone_number": "413-461-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MECHANIC ST # 484",
"city": "EAST BROOKFIELD",
"state": "MA",
"postal_code": "015159800",
"telephone_number": "413-459-9565",
"fax_number": "833-431-1244"
}
],
"practiceLocations": [
{
"address_1": "409 Main St Ste 121",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "MA",
"postal_code": "010022347",
"country_code": "US",
"telephone_number": "413-461-7120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEON",
"first_name": "KELLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2022-07-21",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brookfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.