Active NPI
Elizabeth Simonetta, BSL
- Behavior Analyst
- Mount Wolf, PA
National Provider Identifier
1043735582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH002934
- Practice address
- 3890 N Sherman Street Ext
Mount Wolf, PA 17347-9652 - Phone
- (210) 607-0427
- NPI assigned
- Aug 5, 2017
- Last updated
- Jul 21, 2022
- 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 | BH002934 | PA | Primary |
Addresses
Primary practice location
3890 N Sherman Street Ext
Mount Wolf, PA 17347-9652
Mailing address
3890 N Sherman Street Ext
Mount Wolf, PA 17347-9652
Phone (210) 607-0427
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
- Credentials
- Bachelor of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH002934 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043735582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3890 N SHERMAN STREET EXT",
"city": "MOUNT WOLF",
"state": "PA",
"postal_code": "173479652",
"telephone_number": "210-607-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3890 N SHERMAN STREET EXT",
"city": "MOUNT WOLF",
"state": "PA",
"postal_code": "173479652",
"telephone_number": "210-607-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONETTA",
"first_name": "ELIZABETH",
"credential": "BSL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH002934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Wolf, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.