Milagros Tebar, BCBA , LBS
Individual provider Active NPI Behavior Analyst · Northumberland, PA
NPI 1154010809 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1154010809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-61653 (PA)
- Practice address
- 267 Queen St
Northumberland, PA 17857 - Phone
- (570) 847-4645
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Care ABA, LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-61653 | PA | Yes |
Addresses
Primary practice location
267 Queen St
Northumberland, PA 17857
Mailing address
267 Queen St
Northumberland, PA 17857
Phone (570) 847-4645
Other providers in Northumberland, PA
- Sun Home Health Services, Inc.
- Lori Swanger
- Synergy Grandview Pharmacy, Inc
- Vanessa Wandji Tchabert
- Troy Teats
- Richard Bruce Thatcher
- Rasheedah Thompson
- Rita Verma
- Susan Elaine Webster
- Wellspan Medical Group
All providers in Northumberland, 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 May 8, 2023. 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.