Active NPI
Barbara Nelson, BCBA
- Behavior Analyst
- Newtown, PA
National Provider Identifier
1477126795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-53974
- Practice address
- 170 Pheasant Run Ste 100
Newtown, PA 18940-1877 - Phone
- (215) 579-0670
- NPI assigned
- Jul 23, 2021
- Last updated
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH005400 | PA | |
| Behavior Analyst | 103K00000X | 1-21-53974 | Primary |
Addresses
Primary practice location
170 Pheasant Run Ste 100
Newtown, PA 18940-1877
Mailing address
583 Shoemaker Rd Ste 230
King of Prussia, PA 19406-4238
Phone (484) 681-2170
Other practice location 1
583 Shoemaker Rd Ste 230
King Of Prussia, PA 19406-4238
Phone (484) 681-2170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH005400 | Other | PA | PA DEPARTMENT OF MEDICINE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| BH005400 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1477126795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 SHOEMAKER RD STE 230",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064238",
"telephone_number": "484-681-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 PHEASANT RUN STE 100",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401877",
"telephone_number": "215-579-0670"
}
],
"practiceLocations": [
{
"address_1": "583 Shoemaker Rd Ste 230",
"address_purpose": "LOCATION",
"city": "King Of Prussia",
"state": "PA",
"postal_code": "194064238",
"country_code": "US",
"telephone_number": "484-681-2170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "BARBARA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH005400",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-53974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DEPARTMENT OF MEDICINE",
"identifier": "BH005400",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
- Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr.)
- Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr)
- Nancy Hykel-Malone, M.D. Internal Medicine, Corporation
- Natick Counseling
- Suzanne F Nawrock, NP
- Nesting Egg Home Care
- Neurogenicss, LLC.
- Newton Endoscopy Anesthesia LLC
- Newton Endoscopy Center LLC
- Newtown American Legion Ambulance Squad (Newtown Ambulance Squad)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.