NPIMap

Organization Active NPI

Pennsylvania Autism Action Center

  • Behavior Analyst
  • Tobyhanna, PA
National Provider Identifier
1609320936
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-22395 Issued in PA
Legal business name
PENNSYLVANIA AUTISM ACTION CENTER
Practice address
2071 Route 209
Tobyhanna, PA 18322
Phone
(570) 992-6720
Fax
(570) 992-6736
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Mrs. Michelle Demarsh
Title
Owner/Director of Operations
Phone
(570) 992-6720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-22395 PA Primary

Addresses

Primary practice location

2071 Route 209
Tobyhanna, PA 18322

Mailing address

2071 Route 209
Tobyhanna, PA 18466
Phone (570) 992-6720

National Provider Directory

National Provider Directory
Tax ID family
Pennsylvania Autism Action Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1609320936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 ROUTE 209",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "18466",
            "telephone_number": "570-992-6720",
            "fax_number": "570-992-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 ROUTE 209",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-992-6720",
            "fax_number": "570-992-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA AUTISM ACTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "DEMARSH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "570-992-6720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-16-22395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.