Individual provider Active NPI

Carleigh E Weaver, MS, LBS

  • Behavior Analyst
  • State College, PA
National Provider Identifier
1619687233
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH006242 Issued in PA
Practice address
1500 E Branch Rd Ste 200
State College, PA 16801-6921
Phone
(814) 380-9180
NPI assigned
Dec 5, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH006242 PA Primary

Addresses

Primary practice location

1500 E Branch Rd Ste 200
State College, PA 16801-6921

Mailing address

1500 E Branch Rd Ste 200
State College, PA 16801-6921
Phone (814) 380-9180

Other identifiers 1

IdentifierTypeStateIssuer
1038509600003MedicaidPA

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 Science

State licenses

LicenseStateTypeSpecialty
BH006242PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hummingbird ABA Therapy, LLC Behavior Analyst CurrentSince Dec 13, 2022 Accepting new patients

Locations

1500 E Branch Rd
Ste 200
State College, PA 16801
Phone (814) 380-9180

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, 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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1619687233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E BRANCH RD STE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016921",
            "telephone_number": "814-380-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E BRANCH RD STE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016921",
            "telephone_number": "814-380-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CARLEIGH",
        "middle_name": "E",
        "credential": "MS, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH006242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038509600003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

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.

Verify at the official NPI Registry.