Active NPI
Marie Daddario
- Behavior Analyst
- Kennett Square, PA
National Provider Identifier
1316319981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH001492
- Practice address
- 920 East Baltimore Pike
Holcomb Behavioral Health Systems
Kennett Square, PA 19348 - Phone
- (610) 388-7400
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 | BH001492 | PA | Primary |
Addresses
Primary practice location
920 East Baltimore Pike
Holcomb Behavioral Health Systems
Kennett Square, PA 19348
Mailing address
506 East Baltimore Pike
West Grove, PA 19390
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 |
|---|---|---|---|
| BH001492 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1316319981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 EAST BALTIMORE PIKE",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "19390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 EAST BALTIMORE PIKE",
"address_2": "HOLCOMB BEHAVIORAL HEALTH SYSTEMS",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "610-388-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADDARIO",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH001492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.