Mary Kathryn Boettner

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH004007 Issued in PA

Practice address

2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910

Phone

(856) 346-0005

NPI assigned

Jan 5, 2019

Last updated

Aug 3, 2023By the provider in NPPES

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

• Ms. Mary Kate Foley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Center for Neurological and Neurodevelopmental Health LLC

  dba NeurAbilities Healthcare

  • Behavior Analyst
  • Voorhees, NJ
  • NPI 1730800194
  NPD (past)
• The Center for Neurological and Neurodevelopmental Health, LLC

  dba CNNH

  • Neurology Physician
  • Voorhees, NJ
  • NPI 1962682989
  NPD (past)
• Pennhurst Group LLC

  dba Aveanna Healthcare

  • Community/Behavioral Health Agency
  • Bala Cynwyd, PA
  • NPI 1265687867

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1801369566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 VOORHEES TOWN CTR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431910",
            "telephone_number": "856-346-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 VOORHEES TOWN CTR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431910",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Neshaminy Interplex Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Feasterville Trevose",
            "state": "PA",
            "postal_code": "190536940",
            "country_code": "US",
            "telephone_number": "215-322-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Chapel Ave W Ste 160",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080024605",
            "country_code": "US",
            "telephone_number": "267-240-4467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOETTNER",
        "first_name": "MARY KATHRYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KATE",
            "last_name": "FOLEY",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beth Allison Blumenthal, MD
• Board of Education Voorhees TWP
• Jacek Bochenski, MD
• Nathan Daniel Bodin, M.D.
• Brenda Bodine, O.T.
• Carlton Bogan, MA, LPC
• Soumya Bollampally, DO
• Ronald J Bolognese, MD
• Vilas Frimpomaa Bonsu
• Sarah-Regina Courtney Bowden

• Behavior Analyst in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.