Active NPI
Azeb Gebre, PH.D., BCBA
- Behavior Analyst
- Dover, DE
National Provider Identifier
1508517699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-56255
- Practice address
- 1012 College Rd Ste 103
Dover, DE 19904-6506 - Phone
- (484) 681-2170
- NPI assigned
- Jan 11, 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 | 1-21-56255 | DE | Primary |
Addresses
Primary practice location
1012 College Rd Ste 103
Dover, DE 19904-6506
Mailing address
2500 Renaissance Blvd Ste 170
King of Prussia, PA 19406-2639
Phone (484) 681-2170
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1508517699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 RENAISSANCE BLVD STE 170",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062639",
"telephone_number": "484-681-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 COLLEGE RD STE 103",
"city": "DOVER",
"state": "DE",
"postal_code": "199046506",
"telephone_number": "484-681-2170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBRE",
"first_name": "AZEB",
"credential": "PH.D., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "DE",
"license": "1-21-56255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.