Livia Bodner

Individual provider Active NPI Behavior Technician · Irwin, PA

NPI 1245959477 · NPPES record last updated Aug 23, 2022

Key facts

NPI
1245959477
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1015 Pennsylvania Ave
Irwin, PA 15642-3737
Phone
(866) 287-2036
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1015 Pennsylvania Ave
Irwin, PA 15642-3737

Mailing address

1015 Pennsylvania Ave
Irwin, PA 15642-3737
Phone (866) 287-2036

Other providers in Irwin, PA

All providers in Irwin, PA · Behavior Technician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.