Theresa Adams, BCBA, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH001886 Issued in PA

Practice address

6660 Shermans Valley Rd
Loysville, PA 17047-9168

Phone

(717) 536-0056

NPI assigned

Aug 15, 2014

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Theresa Eversole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spring View Behavior Services

  • Behavior Analyst
  • Loysville, PA
  • NPI 1639092018
  NPD (past) Authorized official

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1558760520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 SHERMANS VALLEY RD",
            "city": "LOYSVILLE",
            "state": "PA",
            "postal_code": "170479168",
            "telephone_number": "717-536-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 SHERMANS VALLEY RD",
            "city": "LOYSVILLE",
            "state": "PA",
            "postal_code": "170479168",
            "telephone_number": "717-536-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "EVERSOLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesse Thomas Bender
• Kimberly Marie Bury, PHDHP, RDH
• John Caruso, DO
• Kelly Shannon Caruso, DO
• Donald David Dangle, DO

• Behavior Analyst in Loysville, PA
• Providers in Loysville, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.