Kristen Casella

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17810 Meeting House Rd Ste 100
Sandy Spring, MD 20860-1039

Phone

(240) 342-2666

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ally Behavior LLC

  • Behavior Analyst
  • Rockville, MD
  • NPI 1710447412
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1891308771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 MEETING HOUSE RD STE 100",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601039",
            "telephone_number": "240-342-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17810 MEETING HOUSE RD STE 100",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601039",
            "telephone_number": "240-342-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASELLA",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Grove Foundation, Inc (The Meadows)
• Brooke Grove Foundation, Inc. (The Woods)
• Brooke Grove Foundation, Inc. (Brooke Grove Rehabilitation and Nursing Center)
• Carole S Burgess-Fongsam, DDS
• Victoria Carter
• Charles & Linda Steel DDS PA
• Whitney Chou
• Ajeet Choxi
• Llewelyn Crooks, M.D. F.A.C.O.G.
• Celia Mary Davidson, OTR/L

• Behavior Technician in Sandy Spring, MD
• Providers in Sandy Spring, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.