Active NPI
Marsela Ismailanji
- Behavior Analyst
- Trevose, PA
National Provider Identifier
1336671619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH003357
- Practice address
- 4 Neshaminy Interplex Drive
Suite 202
Trevose, PA 19053 - Phone
- (215) 322-8860
- NPI assigned
- Mar 28, 2017
- Last updated
- Mar 28, 2017
- 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 | BH003357 | PA | Primary |
Addresses
Primary practice location
4 Neshaminy Interplex Drive
Suite 202
Trevose, PA 19053
Mailing address
1405 Cottman Ave
Philadelphia, PA 19111-3708
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 |
|---|---|---|---|
| BH003357 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inclusive Autism Network | Current | Accepting new patients | |
| Pennhurst Group LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Philadelphia, PA
- NPI 1104670785
-
dba Aveanna Healthcare
- Community/Behavioral Health Agency
- Bala Cynwyd, PA
- NPI 1265687867
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1336671619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 NESHAMINY INTERPLEX DRIVE",
"address_2": "SUITE 202",
"city": "TREVOSE",
"state": "PA",
"postal_code": "19053",
"telephone_number": "215-322-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAILANJI",
"first_name": "MARSELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH003357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.