Deija Kalyce Brantley
Individual provider Active NPI Behavior Analyst · Clifton Heights, PA
NPI 1093576167 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1093576167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 26 N Oak Ave Apt 1
Clifton Heights, PA 19018-1342 - Phone
- (610) 883-1340
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
26 N Oak Ave Apt 1
Clifton Heights, PA 19018-1342
Mailing address
26 N Oak Ave Apt 1
Clifton Heights, PA 19018-1342
Phone (610) 883-1340
Other providers in Clifton Heights, PA
- Drew Armstrong
- Artisan Smiles, PC
- Caroline Athanas
- Barda Inc
- Kedecia Blake-Doumbia
- Carelink Community Support Services
- Susan M Carey
- Alisha Ceriale
- Monique R Chambliss
- Natalie Ann Christy
All providers in Clifton Heights, 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 Jan 17, 2024. 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.