Active NPI
Sheila Marie Marrero, MA, BCBA, LBS
- Behavior Analyst
- Paoli, PA
National Provider Identifier
1649402124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-43386
- Practice address
- 209 W Lancaster Ave Ste 100
Paoli, PA 19301-1749 - Phone
- (484) 755-3756
- NPI assigned
- Aug 17, 2009
- 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 | 1-20-43386 | PA | Primary |
Addresses
Primary practice location
209 W Lancaster Ave Ste 100
Paoli, PA 19301-1749
Mailing address
640 Freedom Business Ctr Dr Ste 220
King of Prussia, PA 19406-1376
Phone (484) 965-9966
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1649402124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 FREEDOM BUSINESS CTR DR STE 220",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061376",
"telephone_number": "484-965-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W LANCASTER AVE STE 100",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011749",
"telephone_number": "484-755-3756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "SHEILA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA, BCBA, LBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-20-43386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.