Individual provider Active NPI

Melissa G Kyne, BCBA

  • Behavior Analyst
  • Lincroft, NJ
National Provider Identifier
1841795853
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-1728324 Issued in NJ
Practice address
282 Parkview Ter
Lincroft, NJ 07738-1330
Phone
(732) 546-2059
NPI assigned
Mar 30, 2018
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-1728324 NJ Primary

Addresses

Primary practice location

282 Parkview Ter
Lincroft, NJ 07738-1330

Mailing address

282 Parkview Ter
Lincroft, NJ 07738-1330
Phone (732) 546-2059

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
1-1728324NJMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1841795853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 PARKVIEW TER",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381330",
            "telephone_number": "732-546-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 PARKVIEW TER",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381330",
            "telephone_number": "732-546-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYNE",
        "first_name": "MELISSA",
        "middle_name": "G",
        "name_prefix": "Miss",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-1728324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincroft, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.