Early Intensive Behavior Intervention

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

EARLY INTENSIVE BEHAVIOR INTERVENTION

Practice address

1021 Springboard Dr
Hershey, PA 17033-8820

Phone

(717) 583-5102

NPI assigned

Oct 11, 2016

Organization subpart

Yes

Parent organization

THE VISTA FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Ms. Sabrina Delong

Title

CSM

Phone

(717) 583-5102

Specialties & licenses 1

Addresses

Other names 1

• The Vista Foundation Other name

Tax ID family

Early Intensive Behavior Intervention2 organizations share this tax ID, including this one

Part of

Early Intensive Behavior Intervention

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Vista Foundation

  • Public Health or Welfare Agency
  • Hershey, PA
  • NPI 1609938513
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Vista Foundation

  • Public Health or Welfare Agency
  • Hershey, PA
  • NPI 1609938513
  NPPES parent name

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1033669296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SPRINGBOARD DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170338820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SPRINGBOARD DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170338820",
            "telephone_number": "717-583-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTENSIVE BEHAVIOR INTERVENTION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE VISTA FOUNDATION",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "CSM",
        "authorized_official_telephone_number": "717-583-5102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vista Foundation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donald Dworek, D.O.
• Miriah Dwyer
• Angela Marie Dye, MS, RD, LDN
• Charles Edward Dye, MD
• Jonathan D Eager, M.D.
• Megan K Eberly, CRNP
• Matthew Ebersole
• Nancy W Ebersole, CRNP
• Jill M Eckert, DO
• Brandon Eden, MD

• Early Intervention Provider Agency in Hershey, PA
• Providers in Hershey, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.