Umbrella Functional Consulting & Support Team, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

UMBRELLA FUNCTIONAL CONSULTING & SUPPORT TEAM, LLC

Practice address

2113 Pennsylvania Ave
Croydon, PA 19021-6862

Phone

(610) 470-3351

NPI assigned

Jan 14, 2019

Organization subpart

No

Name

Mrs. Maria Therese Duerson, M.ED, GCT ABA

Title

Owner/Behavior Specialist

Phone

(610) 470-3351

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2019.

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    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1609340595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 PENNSYLVANIA AVE",
            "city": "CROYDON",
            "state": "PA",
            "postal_code": "190216862",
            "telephone_number": "610-470-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 PENNSYLVANIA AVE",
            "city": "CROYDON",
            "state": "PA",
            "postal_code": "190216862",
            "telephone_number": "610-470-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMBRELLA FUNCTIONAL CONSULTING & SUPPORT TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "DUERSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER/BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "610-470-3351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, GCT ABA"
    },
    "taxonomies": [
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            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
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            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
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            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
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            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
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            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
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            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
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            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.