Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316452469 Individual Practitioner Female Practitioner

Kaitlyn Dougherty , MS, LBS

Behavior Analyst • Media, PA

Professional Overview & Biography Verified Profile Summary

Kaitlyn Dougherty, MS, LBS is a registered healthcare professional specializing in Behavior Analyst in Media, PA. Practice services are available at 600 N JACKSON ST STE 203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 N Jackson St Ste 203

Media, PA 19063

Telephone 4844442285
Associated Practice Facility / Clinic
🏢 Foundations For Growing Llc Facility NPI 1174905707

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Media, PA

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

Practicing in Media, 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: 2020-01-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License 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

State License 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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Patrick Corcoran

Behavior Technician

NPI 1003373614
Andrew Collins

Behavior Technician

NPI 1003373705
Lauren Dilullo

Behavior Technician

NPI 1013474634
NPI 1013684604

Master of Science, Licensed Professional Counselor, Board Certified Behavior Analyst, LBS

Maryanna Shtulman

Speech-Language Pathologist

NPI 1033730304
Terri Banks-Harrell

Behavior Technician

NPI 1043778608

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 23, 2018

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

📍
Updated Business Mailing Address August 23, 2018

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

👤
Provider Name / Credentials Updated August 23, 2018

Recorded as KAITLYN DOUGHERTY, M.S., LBS

NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2017

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

📍
Updated Business Mailing Address December 12, 2017

Registered at 149 CONARROE ST, PHILADELPHIA, PA 191271321

👤
Provider Name / Credentials Updated December 12, 2017

Recorded as KAITLYN KRYSIAK, M.S., LBS

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

Specialist (License #BH003571 in PA)

🟢
Initial NPI Registration & Enumeration December 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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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

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.