Active NPI
Mark Freeby, MED
- Behavior Analyst
- Allentown, PA
National Provider Identifier
1104430800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH005064
- Practice address
- 1245 S Cedar Crest Blvd Ste 303
Allentown, PA 18103-6258 - Phone
- (610) 435-4151
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- No
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 Analyst | 103K00000X | BH005064 | PA | Primary |
Addresses
Primary practice location
1245 S Cedar Crest Blvd Ste 303
Allentown, PA 18103-6258
Mailing address
1023 4TH St Apt 7
Catasauqua, PA 18032-2743
Phone (570) 249-1783
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH005064 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1104430800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 4TH ST APT 7",
"city": "CATASAUQUA",
"state": "PA",
"postal_code": "180322743",
"telephone_number": "570-249-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 S CEDAR CREST BLVD STE 303",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036258",
"telephone_number": "610-435-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEBY",
"first_name": "MARK",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH005064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.