Ruth Burrell

Individual provider Active NPI Behavior Analyst · Wayne, PA

NPI 1104306455 · NPPES record last updated Aug 16, 2018

Key facts

NPI
1104306455
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
85 Old Eagle School Rd
Wayne, PA 19087-2556
Phone
(610) 688-1239
NPI assigned
Aug 16, 2018
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X PA Yes

Addresses

Primary practice location

85 Old Eagle School Rd
Wayne, PA 19087-2556

Mailing address

434 3Rd Ave
Parkesburg, PA 19365-1406

Other providers in Wayne, PA

All providers in Wayne, PA · Behavior Analyst in Pennsylvania

Sources for this page

Verify at the official NPI Registry.