Individual provider Active NPI

Dane Hafler

  • Behavior Analyst
  • Huntingdon Valley, PA
National Provider Identifier
1265259782
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH007305 Issued in PA
Practice address
1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526
Phone
(215) 344-7979
NPI assigned
Sep 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 BH007305 PA Primary

Addresses

Primary practice location

1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526

Mailing address

1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526
Phone (267) 388-0670

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

LicenseStateTypeSpecialty
BH007305PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Child & Family Services Behavior Analyst CurrentSince Sep 29, 2024 Accepting new patients

Locations

1800 Byberry Rd
Ste 1404
Huntingdon Valley, PA 19006
Phone (215) 344-7979

Organizations & group practices 1

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1265259782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD STE 1404",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063526",
            "telephone_number": "267-388-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD STE 1404",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063526",
            "telephone_number": "215-344-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFLER",
        "first_name": "DANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH007305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.