Active NPI
Carolina Monica Lemseyan Maluf, BCBA
- Behavior Analyst
- East Earl, PA
National Provider Identifier
1356999734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH004441
- Practice address
- 26 Granite Dr
East Earl, PA 17519-9486 - Phone
- (717) 419-8914
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-53084 | ||
| Behavior Analyst | 103K00000X | 5151 | TX | |
| Behavior Analyst | 103K00000X | BH004441 | PA | Primary |
Addresses
Primary practice location
26 Granite Dr
East Earl, PA 17519-9486
Mailing address
26 Granite Dr
East Earl, PA 17519-9486
Phone (717) 419-8914
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 |
|---|---|---|---|
| BH004441 | PA | MD | Behavioral Analyst |
| 5151 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Point ABA LLC | Behavior Analyst | Current | Accepting new patients |
| Goldencare Therapy Licensed Behavior Analyst PLLC | Behavior Analyst | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
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 and National Provider Directory roles.
-
- Behavior Analyst
- Christiana, PA
- NPI 1205703428
-
- Community/Behavioral Health Agency
- Lakewood, NJ
- NPI 1932553468
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1356999734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 GRANITE DR",
"city": "EAST EARL",
"state": "PA",
"postal_code": "175199486",
"telephone_number": "717-419-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 GRANITE DR",
"city": "EAST EARL",
"state": "PA",
"postal_code": "175199486",
"telephone_number": "717-419-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMSEYAN MALUF",
"first_name": "CAROLINA",
"middle_name": "MONICA",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-53084",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "5151",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH004441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Earl, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.