Individual provider Active NPI

Ibrahim Ibrahim

  • Behavior Analyst
  • Bethlehem, PA
National Provider Identifier
1073423893
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH008764 Issued in PA
Practice address
224 Nazareth Pike
Bethlehem, PA 18020-9080
Phone
(610) 365-8373
Fax
(610) 365-2522
NPI assigned
Sep 11, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH008764 PA Primary

Addresses

Primary practice location

224 Nazareth Pike
Bethlehem, PA 18020-9080

Mailing address

224 Nazareth Pike
Bethlehem, PA 18020-9080
Phone (610) 365-8373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1073423893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 NAZARETH PIKE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209080",
            "telephone_number": "610-365-8373",
            "fax_number": "610-365-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 NAZARETH PIKE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209080",
            "telephone_number": "610-365-8373",
            "fax_number": "610-365-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "IBRAHIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH008764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.