Active NPIIndividual providerSole proprietor

Mrs. Kelsey A Tavares, BCBA

Behavior Analyst in Kinnelon, New Jersey

NPI Number1174062335
Practice location
9 Hearthstone Dr, Kinnelon, NJ 07405-2303
Fax
—
Last updated
October 5, 2018

Kelsey Ann Tavares is a Behavior Analyst based in Kinnelon, NJ. Kelsey Ann Tavares practices in Kinnelon, NJ and has the professional credentials of BCBA. The NPI Number for Kelsey Ann Tavares is 1174062335 and holds a License No. 1-16-24753 (NJ). The current practice location address for Kelsey Ann Tavares is 9 Hearthstone Dr, Kinnelon, NJ 07405-2303 and can be reached out via phone at 201-259-2587.

Provider Profile Details

NPI Number
1174062335
Provider Name
Kelsey Ann Tavares
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
9 Hearthstone Dr, Kinnelon, NJ 07405-2303
Phone Number
201-259-2587
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Other Names
Kelsey Ann Mccabe, BCBA (Former Name)
Provider Enumeration Date
February 20, 2017
Last Update Date
October 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Hearthstone Dr
Kinnelon, NJ 07405-2303
Zip
07405-2303
Phone Number
201-259-2587
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
128 Hawthorne Court
Rockaway, NJ 07866
City
Rockaway
State
NJ
Zip
07866
Phone Number
201-259-2587

License Information

License Number
1-16-24753
License State
NJ
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kelsey A Tavares, BCBA?

The NPI number of Mrs. Kelsey A Tavares, BCBA is 1174062335. It was assigned on February 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelsey A Tavares, BCBA?

Mrs. Kelsey A Tavares, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-16-24753.

Where does Mrs. Kelsey A Tavares, BCBA practice?

The practice location is 9 Hearthstone Dr, Kinnelon, NJ 07405-2303. The office can be reached at 201-259-2587 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174062335 directly on the NPPES registry website.

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