Active NPI
Nina Chen, RBT
- Behavior Technician
- Secane, PA
National Provider Identifier
1063266963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24-337436
- Practice address
- 2312 Secane Rd
Secane, PA 19018-2810 - Phone
- (267) 564-5717
- Fax
- (609) 526-8479
- NPI assigned
- Apr 16, 2024
- Last updated
- Apr 16, 2024
- 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 Technician | 106S00000X | 24-337436 | PA | Primary |
Addresses
Primary practice location
2312 Secane Rd
Secane, PA 19018-2810
Mailing address
2312 Secane Rd
Secane, PA 19018-2810
Phone (267) 564-5717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-337436 | PA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1063266963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 SECANE RD",
"city": "SECANE",
"state": "PA",
"postal_code": "190182810",
"telephone_number": "267-564-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 SECANE RD",
"city": "SECANE",
"state": "PA",
"postal_code": "190182810",
"telephone_number": "267-564-5717",
"fax_number": "609-526-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "NINA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "PA",
"license": "24-337436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Secane, PA
- Veronica Brown, MED, BCBA
- Kadeah Burhannon
- Amber Dawn Burritt, BCBA
- Helena Katherine Bush, BCBA
- Madeline Mary Byrne, R.PH.
- Ntumba Chibola
- Jeremy Cochran, M.A.
- Kelsey Collevechio, MOT, OTR/L
- Communities of Don Guanella and Divine Providence (Don Guanella Village Work Activity Center)
- Samantha Bowen Cooper, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.