Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kaitlyn Dougherty , MS, LBS

Behavior Analyst β€’ Media, PA

Active NPI 1316452469 Individual Practitioner Female Practitioner
Practice location in NPPES

600 N Jackson St Ste 203
Media, PA 19063

Call 4844442285 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

600 N Jackson St Ste 203

Media, PA 19063

Telephone 4844442285
Organization at the Same NPPES Address or Phone
Foundations For Growing Llc Facility NPI 1174905707

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Media and Pennsylvania

57 active clinicians are listed under Behavior Analyst with a practice address in Media, PA (3,774 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Media

0% of these 57 clinicians have the CMS telehealth indicator.

0% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-01-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES PA BH003571

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.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES PA BH003571

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 23, 2018

Registered at 600 N JACKSON ST STE 203, MEDIA, PA 19063 (Tel: 4844442285)

πŸ“
Updated Business Mailing Address August 23, 2018

Registered at 600 N JACKSON ST STE 203, MEDIA, PA 190632574

πŸ‘€
Provider Name / Credentials Updated August 23, 2018

Recorded as KAITLYN DOUGHERTY, M.S., LBS

βœ…
NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 12, 2017

Registered at 149 CONARROE ST, PHILADELPHIA, PA 191271321 (Tel: 5705789583)

πŸ“
Business Mailing Address (Initial Record) December 12, 2017

Registered at 149 CONARROE ST, PHILADELPHIA, PA 191271321

πŸ‘€
Provider Name / Credentials (Initial Record) December 12, 2017

Recorded as KAITLYN KRYSIAK, M.S., LBS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2017

Specialist (license number reported to NPPES: PA BH003571)

🟒
Initial NPI Registration & Enumeration December 12, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1316452469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2017
Last Update: January 02, 2020
Sole Proprietor: No

Mailing Address

600 N Jackson St Ste 203

Media, PA 190632574

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.