Heather Beistline

Individual provider Active NPI Behavior Technician · Wormleysburg, PA

NPI 1104535244 · NPPES record last updated Nov 17, 2022

Key facts

NPI
1104535244
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
325 N 2ND St
Wormleysburg, PA 17043-1104
Phone
(844) 588-4222
Fax
(717) 775-3443
NPI assigned
Nov 17, 2022
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 Technician 106S00000X Yes

Addresses

Primary practice location

325 N 2ND St
Wormleysburg, PA 17043-1104

Mailing address

325 N 2ND St
Wormleysburg, PA 17043-1104
Phone (844) 588-4222

Other providers in Wormleysburg, PA

All providers in Wormleysburg, PA · Behavior Technician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.