Individual provider Active NPI

Vanessa Hyska

  • Behavior Technician
  • Wormleysburg, PA
National Provider Identifier
1003414848
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
325 N 2ND St
Wormleysburg, PA 17043-1104
Phone
(844) 588-4222
Fax
(717) 775-3443
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

325 N 2ND St
Wormleysburg, PA 17043-1104

Mailing address

325 N 2ND St
Wormleysburg, PA 17043-1104
Phone (844) 588-4222

Other practice location 1

2225 Sycamore St Ste 120
Harrisburg, PA 17111-1026
Phone (844) 588-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1003414848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N 2ND ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431104",
            "telephone_number": "844-588-4222",
            "fax_number": "717-775-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N 2ND ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431104",
            "telephone_number": "844-588-4222",
            "fax_number": "717-775-3443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Sycamore St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171111026",
            "country_code": "US",
            "telephone_number": "844-588-4222",
            "fax_number": "717-775-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYSKA",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.