Active NPI
Patricia Lynn Pappert-Corsino, LBS
- Behavior Analyst
- Media, PA
National Provider Identifier
1568096097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH004820
- Practice address
- 606 E Baltimore Pike FL 2
Media, PA 19063-1751 - Phone
- (215) 645-5408
- Fax
- (877) 599-3340
- NPI assigned
- Feb 24, 2020
- 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 | BH004820 | PA | Primary |
Addresses
Primary practice location
606 E Baltimore Pike FL 2
Media, PA 19063-1751
Mailing address
606 E Baltimore Pike FL 2
Media, PA 19063-1751
Phone (215) 645-5408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH004820 | Other | PA | BEHAVIOR SPECIALIST |
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 |
|---|---|---|---|
| BH004820 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aba2Day Behavior Services, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Newtown Square, PA
- NPI 1700192234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1568096097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 E BALTIMORE PIKE FL 2",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631751",
"telephone_number": "215-645-5408",
"fax_number": "877-599-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 E BALTIMORE PIKE FL 2",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631751",
"telephone_number": "215-645-5408",
"fax_number": "877-599-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPERT-CORSINO",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"credential": "LBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH004820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR SPECIALIST",
"identifier": "BH004820",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.