Individual provider Active NPI

Jennifer Silva

  • Behavior Analyst
  • Forty Fort, PA
National Provider Identifier
1346656501
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH002302 Issued in PA
Practice address
43 Virginia Ter
Forty Fort, PA 18704-4929
Phone
(570) 417-5541
Fax
(888) 965-0581
NPI assigned
Jul 9, 2014
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 BH002302 PA Primary

Addresses

Primary practice location

43 Virginia Ter
Forty Fort, PA 18704-4929

Mailing address

193 Market St.
Kingston, PA 18704-4929
Phone (570) 846-0455

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
BH002302PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Behavior Consulting Behavior Analyst Current Accepting new patients
Beyond Behavior Consulting Behavior Analyst PastSince Nov 21, 2021 Accepting new patients

Locations

1003 Wyoming Ave
Kingston, PA 18704
Phone (570) 764-0300

193 Market St
Kingston, PA 18704
Phone (570) 718-1727

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1346656501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MARKET ST.",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044929",
            "telephone_number": "570-846-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 VIRGINIA TER",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044929",
            "telephone_number": "570-417-5541",
            "fax_number": "888-965-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forty Fort, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.