Active NPI
Jennifer Lynne Mitton, MA, LBS, BCBA
- Behavior Analyst
- York, PA
National Provider Identifier
1588124507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH004210
- Practice address
- 1407 Williams Rd
York, PA 17402-9000 - Phone
- (717) 845-2482
- Fax
- (717) 843-2170
- NPI assigned
- Mar 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH004210 | PA | Primary |
Addresses
Primary practice location
1407 Williams Rd
York, PA 17402-9000
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
1315 Old Forge Rd
Lebanon, PA 17046-7951
Phone (717) 273-8871
Other practice location 2
2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954
Other practice location 3
125 Schneider Dr
Lebanon, PA 17046-4875
Phone (717) 270-2444
Other practice location 4
2124 Old Philadelphia Pike
Lancaster, PA 17602-3415
Phone (717) 676-7641
Other practice location 5
1000 S 8th St
Lebanon, PA 17042-6726
Phone (717) 874-9963
Other practice location 6
780 Eden Rd
Lancaster, PA 17601-4275
Phone (717) 735-7770
Other practice location 7
283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 273-8871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH004210 | Other | PA | STATE LICENSE - 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH004210 | PA | MD | Behavioral Analyst |
Practice roles
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1588124507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 WILLIAMS RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029000",
"telephone_number": "717-845-2482",
"fax_number": "717-843-2170"
}
],
"practiceLocations": [
{
"address_1": "1315 Old Forge Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170467951",
"country_code": "US",
"telephone_number": "717-273-8871",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Oregon Pike",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176014890",
"country_code": "US",
"telephone_number": "717-735-1954",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Schneider Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170464875",
"country_code": "US",
"telephone_number": "717-270-2444",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 Old Philadelphia Pike",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176023415",
"country_code": "US",
"telephone_number": "717-676-7641",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 S 8th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426726",
"country_code": "US",
"telephone_number": "717-874-9963",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 Eden Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176014275",
"country_code": "US",
"telephone_number": "717-735-7770",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "283 S Butler Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170428939",
"country_code": "US",
"telephone_number": "717-273-8871",
"fax_number": "717-270-2472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITTON",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "MA, LBS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2022-12-05",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH004210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - BEHAVIOR SPECIALIST",
"identifier": "BH004210",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
- Justin Scott Mitchell, PT, DPT
- Tyler Mitcheltree, DC
- Mitrick Pollack Rutter Orthopaedics LLP (York Interventional Spine Center)
- Mitrick Pollack Rutter Orthopaedics LLP
- Michael F. Mitrick, D.O.
- Laura I Mitzel, BA
- Ali-Reza Mobaraki
- Mobile Doctors
- Mobile on Site Therapy Inc.
- Khutso Annah Modiba, BACHELOR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.