Rebecca Rose Peleg

Individual provider Active NPI Behavior Analyst · Broomall, PA

NPI 1477066306 · NPPES record last updated Nov 14, 2017

Key facts

NPI
1477066306
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
BH003602 (PA)
Practice address
85 N Malin Rd
Broomall, PA 19008-1928
Phone
(484) 423-7000
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BH003602PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Kids Behavior Analyst Current
since Mar 5, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH003602 PA Yes

Addresses

Primary practice location

85 N Malin Rd
Broomall, PA 19008-1928

Mailing address

1511 James Rd
Wynnewood, PA 19096-2514
Phone (516) 776-7191

Other providers in Broomall, PA

All providers in Broomall, PA · Behavior Analyst in Pennsylvania

Sources for this page

Verify at the official NPI Registry.