Gaynelle Clarette Bloh, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH002690 Issued in PA

Practice address

132 Fleming St
Blandon, PA 19510-9598

Phone

(215) 370-9229

NPI assigned

Mar 10, 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

Other identifiers 1

Other names 1

• Gaynelle Clarette Peebles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1407249790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FLEMING ST",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109598",
            "telephone_number": "215-370-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FLEMING ST",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109598",
            "telephone_number": "215-370-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOH",
        "first_name": "GAYNELLE",
        "middle_name": "CLARETTE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE",
            "identifier": "BH002690",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYNELLE",
            "last_name": "PEEBLES",
            "middle_name": "CLARETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Ahearn
• Berks County Recovery Transitional Services, LLC
• Berks Family Physicians, P.C.
• Blandon Community Ambulance Assn Inc.
• Blandon Pharmacy LLC
• Gregory Scott Bobal, DC
• Kim Marie Burt, M.S.
• Matthew J Cambria, DMD
• Yi Hsuan Chu
• Kellie Cirulli, RN-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.