Michael Leo Depaul

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH004524 Issued in PA

Practice address

1400 Fox Hill Rd Ste 100a
State College, PA 16803-1877

Phone

(814) 238-4851

NPI assigned

Nov 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1245875632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FOX HILL RD STE 100A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOX HILL RD STE 100A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031877",
            "telephone_number": "814-238-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAUL",
        "first_name": "MICHAEL",
        "middle_name": "LEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-09",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Dell'Olio, LCSW
• Jennifer Lynne Delozier, MD
• Deborah Schloder Demuro, CRNP
• Dental Professionals of Pennsylvania P C
• Dentistry by April Detar
• Jerome D. Derdel, MD
• Dermatology Assoc of Central PA, PC
• Amanda Jeanette Derosa, PA-C
• Timothy Hans Derstine, M.D.
• Billie Jo Desantis

• Behavior Analyst in State College, PA
• Providers in State College, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.