Heather Erin Kmetz, BSL

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH005945 Issued in PA

Practice address

103 Champagne Ave
Johnstown, PA 15905-1348

Phone

(814) 243-0715

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Erin Kennedy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science - Law

State licenses

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1952017923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHAMPAGNE AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051348",
            "telephone_number": "814-243-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHAMPAGNE AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051348",
            "telephone_number": "814-243-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMETZ",
        "first_name": "HEATHER",
        "middle_name": "ERIN",
        "credential": "BSL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KENNEDY",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Catherine Klena-Charney, D.M.D.
• Elizabeth Evins Kline, CRNP
• John Kline, PTA
• Troy Kline
• Lisa Jean Klochak, CCC-SLP
• Amy Knepper
• Lindsey Nicole Knipple, SLP
• Damiana Kniss, RN
• Victoria Knobloch
• Ko Anesthesia LLC

• Behavior Analyst in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.