Vivian Dantzler, MA, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BSL002569 Issued in PA

Practice address

1116 S 20TH St
Philadelphia, PA 19146-2837

Phone

(215) 397-5450

Fax

(267) 687-1978

NPI assigned

Oct 28, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1396117446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 S 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462837",
            "telephone_number": "215-397-5450",
            "fax_number": "267-687-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 S 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462837",
            "telephone_number": "215-397-5450",
            "fax_number": "267-687-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "VIVIAN",
        "name_prefix": "Ms.",
        "credential": "MA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BSL002569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Y Danquah, MOBILE THERAPIST
• Cristhian Dantagnan, M.ED., LPC
• Stephen J Dante, MD
• Niko Dantzler-Johnson, LPC
• Shanaya Nicole Dantzler, LPC
• Iryna Danylyuk, CRNP
• Jennifer Anne Danzig, M.D.
• Peter Andrew Danzig, MSW
• Margaret Sarah Danziger
• Duy Trong Dao, MD

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.