Individual provider Active NPI

Danielle K Reisberg, LBS

  • Behavior Analyst
  • York, PA
National Provider Identifier
1447866918
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH006255 Issued in PA
Practice address
1651 Mount Zion Rd
York, PA 17406-8342
Phone
(717) 885-5906
Fax
(717) 600-8179
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH006255 PA Primary

Addresses

Primary practice location

1651 Mount Zion Rd
York, PA 17406-8342

Mailing address

1651 Mount Zion Rd
York, PA 17406-8342
Phone (717) 885-5906

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

LicenseStateTypeSpecialty
BH006255PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1447866918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 MOUNT ZION RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174068342",
            "telephone_number": "717-885-5906",
            "fax_number": "717-600-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 MOUNT ZION RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174068342",
            "telephone_number": "717-885-5906",
            "fax_number": "717-600-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISBERG",
        "first_name": "DANIELLE",
        "middle_name": "K",
        "credential": "LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH006255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.