Individual provider Active NPI

Kaela Danenberger

  • Behavior Analyst
  • Yorktown, VA
National Provider Identifier
1821538307
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133003849 Issued in VA
Practice address
118 Railway Rd
Yorktown, VA 23692-2930
Phone
(757) 304-0224
Fax
(757) 852-0498
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0134000473 VA
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 0133003849 VA Primary

Addresses

Primary practice location

118 Railway Rd
Yorktown, VA 23692-2930

Mailing address

2259 Cramer LN
Hayes, VA 23072-4036
Phone (757) 581-7770

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

State licenses

LicenseStateTypeSpecialty
0133003849VAMDBehavioral Analyst
0134000473VAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Achieveability Therapy Services Behavior Analyst PastSince Mar 19, 2023 Accepting new patients
Achieveability Therapy Services PastSince Jun 16, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1821538307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 CRAMER LN",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230724036",
            "telephone_number": "757-581-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 RAILWAY RD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922930",
            "telephone_number": "757-304-0224",
            "fax_number": "757-852-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANENBERGER",
        "first_name": "KAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000473",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.