Elizabeth Simonetta, BSL
Individual provider Active NPI Behavior Analyst · Mount Wolf, PA
NPI 1043735582 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1043735582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BH002934 (PA)
- Practice address
- 3890 N Sherman Street Ext
Mount Wolf, PA 17347-9652 - Phone
- (210) 607-0427
- NPI assigned
- Aug 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH002934 | PA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH002934 | PA | Yes |
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
Other providers in Mount Wolf, PA
- Ashley Lynn Perigo
- Jennifer Lee Price
- Kimberley Alyce Robinson
- April Noelle Semken
- Laura Thompson Shive
- Grace Catherine Stieh
- Nicole Alexys Stone
- Kelly Stuessy
- Leah Tingley
- Tree Growers 4 Christ
All providers in Mount Wolf, PA · Behavior Analyst in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.