Individual provider Active NPI

Agnieszka A Gancarz, MS ABA, BCBA, LBS

  • Behavior Analyst
  • Malvern, PA
National Provider Identifier
1225821671
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-57835 Issued in PA
Practice address
5 Great Valley Pkwy Ste 270
Malvern, PA 19355-1426
Phone
(484) 757-5538
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-57835 PA Primary

Addresses

Primary practice location

5 Great Valley Pkwy Ste 270
Malvern, PA 19355-1426

Mailing address

119 Westtown Rd
West Chester, PA 19382-4941
Phone (484) 340-6668

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
Credentials
Associate of Business Administration, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Siza Es CurrentSince Jun 3, 2025 Accepting new patients
Siza Education Services Behavior Analyst CurrentSince Jun 3, 2025 Accepting new patients

Locations

5 Great Valley Pkwy
Ste 270
Malvern, PA 19355
Phone (484) 757-5538

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1225821671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WESTTOWN RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824941",
            "telephone_number": "484-340-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GREAT VALLEY PKWY STE 270",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551426",
            "telephone_number": "484-757-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCARZ",
        "first_name": "AGNIESZKA",
        "middle_name": "A",
        "credential": "MS ABA, BCBA, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-22-57835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.