Laura Shovlin
Individual provider Active NPI Behavior Analyst · Exeter, PA
NPI 1356897136 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1356897136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BH001912 (PA)
- Practice address
- 1122 Wyoming Ave
Exeter, PA 18643-1918 - Phone
- (570) 655-1667
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH001912 | PA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH001912 | PA | Yes |
Addresses
Primary practice location
1122 Wyoming Ave
Exeter, PA 18643-1918
Mailing address
1122 Wyoming Ave
Exeter, PA 18643-1918
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All providers in Exeter, PA · Behavior Analyst in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.