Active NPI
Elizabeth D Boylan, BCBA
- Behavior Analyst
- Phoenixville, PA
National Provider Identifier
1023442027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA 1-12-11433
- Practice address
- 100 Steeple Chase Dr
Phoenixville, PA 19460-1544 - Phone
- (610) 247-5797
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA 1-12-11433 | Primary |
Addresses
Primary practice location
100 Steeple Chase Dr
Phoenixville, PA 19460-1544
Mailing address
100 Steeple Chase Dr
Phoenixville, PA 19460-1544
Phone (610) 247-5797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBA 1-12-11433 | Other | BCBA, CERTIFICANT 1-12-11433 |
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": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1023442027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STEEPLE CHASE DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601544",
"telephone_number": "610-247-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STEEPLE CHASE DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601544",
"telephone_number": "610-247-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLAN",
"first_name": "ELIZABETH",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "BCBA 1-12-11433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA, CERTIFICANT 1-12-11433",
"identifier": "BCBA 1-12-11433",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.