Milagros Tebar, BCBA , LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-61653 Issued in PA

Practice address

267 Queen St
Northumberland, PA 17857

Phone

(570) 847-4645

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keystone Care ABA, LLC

  • Behavior Analyst
  • Northumberland, PA
  • NPI 1366273773
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1154010809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 QUEEN ST",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "17857",
            "telephone_number": "570-847-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 QUEEN ST",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "17857",
            "telephone_number": "570-847-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBAR",
        "first_name": "MILAGROS",
        "name_prefix": "Mrs.",
        "credential": "BCBA , LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-22-61653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Home Health Services, Inc.
• Lori Swanger, COTA/L
• Synergy Grandview Pharmacy, Inc
• Vanessa Wandji Tchabert, RPH
• Troy Teats, PTA
• Richard Bruce Thatcher, DMD
• Rasheedah Thompson, MS
• Rita Verma, OD
• Susan Elaine Webster, PT
• Wellspan Medical Group (WellSpan Family Medicine)

• Behavior Analyst in Northumberland, PA
• Providers in Northumberland, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.