Gabrielle Deparasis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

351 Tenny St
Bloomsburg, PA 17815-3264

Phone

(570) 802-3099

NPI assigned

Sep 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Autism Diagnostic Evaluations Resources Services

  • Community/Behavioral Health Agency
  • New Columbia, PA
  • NPI 1033541438
  NPD
• Autism Diagnostic Evaluations Resources Services

  • Behavior Analyst
  • Lewisburg, PA
  • NPI 1427606011
  NPD
• Pave the Way ABA

  • Behavior Analyst
  • Bloomsburg, PA
  • NPI 1972335214
  NPD

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1437709672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BANKS AVE",
            "city": "MCADOO",
            "state": "PA",
            "postal_code": "182372508",
            "telephone_number": "570-802-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 TENNY ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178153264",
            "telephone_number": "570-802-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Buffalo Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178371206",
            "country_code": "US",
            "telephone_number": "570-523-6787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPARASIS",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272112814",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lewisburg",
            "affiliation": "N",
            "address_1": "900 Buffalo Rd Ste 1",
            "city": "Lewisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178371206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marianne K Degreen, PHARM D
• Patricia Deitrich
• Sipora Dejesus
• Jeremy Scott Demarco, LPC
• Timothy James Dennen, M.D.
• David Peter Derose, OD
• Madison Dewease
• Alyssa Diehl
• Christine Ann Dopp, PA-C
• John Allen Douglas III, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.