Luciana Genevieve Mayo, LBS

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

BH003123 Issued in PA

Practice address

4 Neshaminy Interplex Dr
Suite 202
Trevose, PA 19053-6944

Phone

(215) 322-8860

Fax

(215) 332-8867

NPI assigned

Oct 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennhurst Group LLC

  • Community/Behavioral Health Agency
  • Bala Cynwyd, PA
  • NPI 1265687867
  NPD (past)

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1083164644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ENGLEWOOD RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821517",
            "telephone_number": "267-319-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NESHAMINY INTERPLEX DR",
            "address_2": "SUITE 202",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536944",
            "telephone_number": "215-322-8860",
            "fax_number": "215-332-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "LUCIANA",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Ms.",
        "credential": "LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "PA",
            "license": "BH003123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a Miller and Associates Inc
• Mary Marquis
• Kathleen Mascaro, M.ED., LBS
• Thor Mataya, CPOA
• Teresa Mathew, M.D.
• Julia Meehan, LPC
• Tsipora D. Melman, MSW, LCSW
• Adam Mark Mikulski, D.O.
• Marissa M Morrison, COTA/L
• MVC PA PLLC

• Assistant Behavior Analyst in Trevose, PA
• Providers in Trevose, PA by specialty
• Assistant Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.