Active NPI
Lani Peterson
- Behavior Analyst
- Enola, PA
National Provider Identifier
1194137596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH001513
- Practice address
- 820 Lee LN
Enola, PA 17025-1520 - Phone
- (717) 303-4393
- NPI assigned
- May 20, 2014
- Sex
- Female
- 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 | BH001513 | PA | Primary |
Addresses
Primary practice location
820 Lee LN
Enola, PA 17025-1520
Mailing address
820 Lee Lane
Enola, PA 17025-1500
Phone (717) 303-4393
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH001513 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1194137596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 LEE LANE",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251500",
"telephone_number": "717-303-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 LEE LN",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251520",
"telephone_number": "717-303-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH001513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enola, PA
- Penn State Health
- Penn State Health Hampden Medical Center
- Pennsboro Pediatrics, LLC
- Pennsylvania CVS Pharmacy, L.L.C.
- Savita R Persaud, CRNA
- Emily Iona Petroski, CRNP
- Pinnacle Health Medical Group Inc
- Pinnacle Health Medical Group Inc
- Pinnacle Health Medical Services
- Pinnacle Health Medical Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.