Active NPI
Danielle Maria Ederer, BCBA
- Behavior Analyst
- Newtown Square, PA
National Provider Identifier
1629627831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-37864
- Practice address
- 3744 W Chester Pike
Newtown Square, PA 19073-3224 - Phone
- (844) 924-0777
- NPI assigned
- Sep 10, 2019
- 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 | 1-19-37864 | PA | Primary |
Addresses
Primary practice location
3744 W Chester Pike
Newtown Square, PA 19073-3224
Mailing address
5 Revere Dr Ste 120
Northbrook, IL 60062-8005
Phone (847) 807-3717
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1629627831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 REVERE DR STE 120",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600628005",
"telephone_number": "847-807-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3744 W CHESTER PIKE",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733224",
"telephone_number": "844-924-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDERER",
"first_name": "DANIELLE",
"middle_name": "MARIA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-19-37864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.