Jeffrey Dickinson
Individual provider Active NPI Behavior Analyst · Secane, PA
NPI 1235897448 · NPPES record last updated Dec 4, 2021
Key facts
- NPI
- 1235897448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-20-46809 (PA)
- Practice address
- 914 South Ave Apt C14
Secane, PA 19018-4463 - Phone
- (215) 626-7881
- NPI assigned
- Dec 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Analytic Behavioral Services | Behavior Analyst | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-46809 | PA | Yes |
Addresses
Primary practice location
914 South Ave Apt C14
Secane, PA 19018-4463
Mailing address
500 Office Center Dr Ste 100
Fort Washington, PA 19034-3234
Other providers in Secane, PA
- Jeremy Cochran
- Kelsey Collevechio
- Communities of Don Guanella and Divine Providence
- Samantha Bowen Cooper
- Faranak Dabir
- Ashley Dilullo
- Divine Providence Village
- Divine Providence Village
- Divine Providence Village
- Fanny Mimi Dougan
All providers in Secane, PA · Behavior Analyst in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.