Devansya Knowles

Individual provider Active NPI Behavior Technician · Secane, PA

NPI 1174358477 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1174358477
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-374858 (PA)
Practice address
2312 Secane Rd
Secane, PA 19018-2810
Phone
(267) 564-5717
Fax
(609) 526-8479
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-24-374858PAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X RBT-24-374858 PA Yes

Addresses

Primary practice location

2312 Secane Rd
Secane, PA 19018-2810

Mailing address

2312 Secane Rd
Secane, PA 19018-2810
Phone (267) 564-5717

Other providers in Secane, PA

All providers in Secane, PA · Behavior Technician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.