KAITLIN LICCIARDONE (NPI# 1669981908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669981908 |
| Entity Type | Individual |
| Full Name | KAITLIN LICCIARDONE |
| Credential | MS, BCBA |
| Practice Address |
1019 W 9th Ave King of Prussia PA 19406-1215 |
| Mailing Address |
6100 City Ave Apt P212 Philadelphia PA 19131-1239 |
| Practice Telephone | 6109929900 |
| Mailing Telephone | 7324294674 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-26267 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1019 W 9TH AVE |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801337910 | Gym-jam Therapeutics, Inc. | Community/Behavioral Health | 1019 W 9th Ave, Suite, King of Prussia, PA 19406-1215 | 2017-03-09 |
| 1811454309 | Subah Gupta | Occupational Therapist | 1019 W 9th Ave, King of Prussia, PA 19406-1215 | 2019-02-21 |
| 1558833756 | Brittany Elizabeth Finn | Speech-Language Pathologist | 1019 W 9th Ave, King of Prussia, PA 19406-1215 | 2018-12-28 |
| 1720586605 | Stephanie Antonik | Occupational Therapist | 1019 W 9th Ave, King of Prussia, PA 19406-1215 | 2018-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678709 | Helping Hands Family Pennsylvania LLC | Behavioral Analyst | 200 N Warner Rd Ste 210, King of Prussia, PA 19406-2842 | 2020-01-13 |
| 1487114468 | Kevin Mchugh | Behavioral Analyst | 583 Shoemaker Rd Ste 130, King of Prussia, PA 19406-4238 | 2019-03-25 |
| 1043786775 | Elizabeth Clayton | Behavioral Analyst | 230 Hearthstone Rd, King of Prussia, PA 19406-2201 | 2018-10-20 |
| 1386110328 | Olivia Cvelic | Behavioral Analyst | 1001 W 9th Ave Ste Bc, King of Prussia, PA 19406-1209 | 2018-10-17 |
| 1487138533 | Kimberly Dawn Chady | Behavioral Analyst | 103 Hamlet Dr, King of Prussia, PA 19406-1746 | 2018-09-24 |
| 1346756343 | Lisa Graf | Behavioral Analyst | 269 Roberts Dr, King of Prussia, PA 19406-1734 | 2017-12-28 |
| 1073983847 | Adriana Neumann | Behavioral Analyst | 170 N Henderson Rd Fl 2, King of Prussia, PA 19406-2155 | 2015-10-05 |
| 1730580713 | Lisa Veitz | Behavioral Analyst | 1001 W 9th Ave, Suite B, King of Prussia, PA 19406-1209 | 2014-09-10 |
| 1356741391 | Timothy Daniel Caldwell | Behavioral Analyst | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2014-08-27 |
| 1376825125 | Dana Renee Piergiovanni | Behavioral Analyst | 1001 W 9th Ave Ste Bandc, King of Prussia, PA 19406-1209 | 2011-09-16 |
| Find all providers in KING OF PRUSSIA | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.