Individual provider Active NPI

Kimberly Reveley-Cohen, MA, LBS

  • Behavior Analyst
  • Huntingdon, PA
National Provider Identifier
1982068946
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH000948 Issued in PA
Practice address
10517 Raystown Rd
Huntingdon, PA 16652-7545
Phone
(814) 506-8143
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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 BH000948 PA Primary

Addresses

Primary practice location

10517 Raystown Rd
Huntingdon, PA 16652-7545

Mailing address

10517 Raystown Rd
Huntingdon, PA 16652-7545
Phone (814) 506-8143

Other identifiers 1

IdentifierTypeStateIssuer
BH000948OtherPABEHAVIORAL SPECIALIST LICENSE

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BH000948PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1982068946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 RAYSTOWN RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166527545",
            "telephone_number": "814-506-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 RAYSTOWN RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166527545",
            "telephone_number": "814-506-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELEY-COHEN",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL SPECIALIST LICENSE",
            "identifier": "BH000948",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.