Active NPI
Christine Wisda, MED, LBS
- Behavior Analyst
- Butler, PA
National Provider Identifier
1497495808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH003158
- Practice address
- 200 Renaissance Dr Ste 401
Butler, PA 16001-7612 - Phone
- (724) 282-9010
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH003158 | PA | Primary |
Addresses
Primary practice location
200 Renaissance Dr Ste 401
Butler, PA 16001-7612
Mailing address
200 Renaissance Dr Ste 401
Butler, PA 16001-7612
Phone (724) 282-9010
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH003158 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1497495808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RENAISSANCE DR STE 401",
"city": "BUTLER",
"state": "PA",
"postal_code": "160017612",
"telephone_number": "724-282-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RENAISSANCE DR STE 401",
"city": "BUTLER",
"state": "PA",
"postal_code": "160017612",
"telephone_number": "724-282-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISDA",
"first_name": "CHRISTINE",
"credential": "MED, LBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH003158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.