Active NPI
Nichole Alexandra Phiambolis, M.S., BCBA, BSL
- Behavior Analyst
- Reading, PA
National Provider Identifier
1689093411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH000253
- Practice address
- 3614 Orchard CT
Reading, PA 19606-2842 - Phone
- (215) 840-4708
- NPI assigned
- Apr 9, 2014
- Sex
- Female
- Sole proprietor
- No
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 | BH000253 | PA | Primary |
Addresses
Primary practice location
3614 Orchard CT
Reading, PA 19606-2842
Mailing address
3614 Orchard CT
Reading, PA 19606-2842
Phone (215) 840-4708
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
- Bachelor of Science - Law, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH000253 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1689093411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3614 ORCHARD CT",
"city": "READING",
"state": "PA",
"postal_code": "196062842",
"telephone_number": "215-840-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 ORCHARD CT",
"city": "READING",
"state": "PA",
"postal_code": "196062842",
"telephone_number": "215-840-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIAMBOLIS",
"first_name": "NICHOLE",
"middle_name": "ALEXANDRA",
"name_prefix": "Mrs.",
"credential": "M.S., BCBA, BSL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH000253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.