Active NPI
Kendra Ann Hauk
- Behavior Analyst
- Exton, PA
National Provider Identifier
1881104123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH003289
- Practice address
- 467 Creamery Way
Exton, PA 19341-2508 - Phone
- (610) 363-1488
- NPI assigned
- Sep 30, 2017
- 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 Analyst | 103K00000X | BH003289 | PA | Primary |
Addresses
Primary practice location
467 Creamery Way
Exton, PA 19341-2508
Mailing address
398 Devon Dr
Exton, PA 19341-1781
Other practice location 1
455 Boot Rd
Downingtown, PA 19335-3043
Phone (484) 593-5040
Other practice location 2
4 Neshaminy Interplex Dr Ste 202
Trevose, PA 19053-6940
Phone (215) 322-8860
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
| License | State | Type | Specialty |
|---|---|---|---|
| BH003289 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennhurst Group LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bala Cynwyd, PA
- NPI 1265687867
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881104123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 DEVON DR",
"city": "EXTON",
"state": "PA",
"postal_code": "193411781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 CREAMERY WAY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412508",
"telephone_number": "610-363-1488"
}
],
"practiceLocations": [
{
"address_1": "455 Boot Rd",
"address_purpose": "LOCATION",
"city": "Downingtown",
"state": "PA",
"postal_code": "193353043",
"country_code": "US",
"telephone_number": "484-593-5040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Neshaminy Interplex Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Trevose",
"state": "PA",
"postal_code": "190536940",
"country_code": "US",
"telephone_number": "215-322-8860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUK",
"first_name": "KENDRA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH003289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.