Active NPI
Jeanette Collazo
- Behavior Analyst
- Langhorne, PA
National Provider Identifier
1225867443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12370413
- Practice address
- 900 Town Center Dr
Langhorne, PA 19047-3244 - Phone
- (844) 735-0222
- NPI assigned
- Jul 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 12370413 | PA | Primary |
Addresses
Primary practice location
900 Town Center Dr
Langhorne, PA 19047-3244
Mailing address
900 Town Center Dr
Langhorne, PA 19047-3244
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 |
|---|---|---|---|
| 12370413 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1225867443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 TOWN CENTER DR",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190473244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TOWN CENTER DR",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190473244",
"telephone_number": "844-735-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "JEANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "12370413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.