Active NPI
Kataryna E Provost
- Behavior Technician
- Dillsburg, PA
National Provider Identifier
1861970303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 39 Tannery Rd # 316
Dillsburg, PA 17019-9673 - Phone
- (844) 588-4222
- Fax
- (717) 775-3443
- NPI assigned
- Aug 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
39 Tannery Rd # 316
Dillsburg, PA 17019-9673
Mailing address
275 Cumberland Pkwy # 316
Mechanicsburg, PA 17055-5677
Phone (844) 588-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463945693 | Other | PA | APPLIED BEHAVIOR ANALYSIS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1861970303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CUMBERLAND PKWY # 316",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170555677",
"telephone_number": "844-588-4222",
"fax_number": "717-775-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 TANNERY RD # 316",
"city": "DILLSBURG",
"state": "PA",
"postal_code": "170199673",
"telephone_number": "844-588-4222",
"fax_number": "717-775-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVOST",
"first_name": "KATARYNA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLIED BEHAVIOR ANALYSIS",
"identifier": "463945693",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dillsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.