Organization Active NPI

Children's Universal Behavior Services

  • Behavior Analyst
  • Shawnee-on-Delaware, PA
National Provider Identifier
1639786965
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHILDREN'S UNIVERSAL BEHAVIOR SERVICES
Practice address
107 Shawnee Square Dr SE # E
Shawnee on Delaware, PA 18356-0700
Phone
(570) 977-6434
NPI assigned
Sep 30, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Angela Bray
Title
Ceo/Clinical Director, Bcba
Phone
(570) 977-6434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

107 Shawnee Square Dr SE # E
Shawnee on Delaware, PA 18356-0700

Mailing address

PO Box 32
Shawnee on Delaware, PA 18356-0032
Phone (570) 977-6434

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1639786965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "SHAWNEE ON DELAWARE",
            "state": "PA",
            "postal_code": "183560032",
            "telephone_number": "570-977-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SHAWNEE SQUARE DR SE # E",
            "city": "SHAWNEE ON DELAWARE",
            "state": "PA",
            "postal_code": "183560700",
            "telephone_number": "570-977-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S UNIVERSAL BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR, BCBA",
        "authorized_official_telephone_number": "570-977-6434"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee-on-Delaware, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.