Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689218612 Individual Practitioner Female Practitioner

Kylie Ross , MSED LBS BCBA

Behavior Analyst • Willow Grove, PA

Professional Overview & Biography Verified Profile Summary

Kylie Ross, MSED LBS BCBA is a registered healthcare professional specializing in Behavior Analyst in Willow Grove, PA. Practice services are available at 630 FITZWATERTOWN RD STE A2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 Fitzwatertown Rd Ste A2

Willow Grove, PA 190901928

Telephone 8779339932

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Willow Grove, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Willow Grove, PA (3800 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-22-58270

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

State License None 1-21-12446

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
BCBA (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Melissa Donofrio , BCBA

Behavior Analyst

NPI 1114369436

Board Certified Behavior Analyst

Nichole Riley , RBT

Behavior Technician

NPI 1417591447

Registered Behavior Technician

Gina Lehotsky

Behavior Technician

NPI 1649827080
Tyra Cannon

Behavior Technician

NPI 1659094423
Randi Boyce

Behavior Technician

NPI 1871140228

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated December 27, 2024

Recorded as KYLIE ROSS, MSED LBS BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Assistant Behavior Analyst (License #1-21-12446 in None)

NPI Profile Active November 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2019

Registered at 630 FITZWATERTOWN RD STE A2, WILLOW GROVE, PA 190901928 (Tel: 8779339932)

📍
Updated Business Mailing Address November 02, 2019

Registered at 630 FITZWATERTOWN RD STE A2, WILLOW GROVE, PA 190901928 (Tel: 8779339932)

👤
Provider Name / Credentials Updated November 02, 2019

Recorded as KYLIE BROFMAN, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2019

Behavior Technician (License #RBT-19-99177 in PA)

🟢
Initial NPI Registration & Enumeration November 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689218612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2019
Last Update: December 27, 2024
Sole Proprietor: No

Mailing Address

630 Fitzwatertown Rd Ste A2

Willow Grove, PA 190901928

Phone: 8779339932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.