Individual provider Active NPI

Lisa Veitz

  • Behavior Analyst
  • King of Prussia, PA
National Provider Identifier
1730580713
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH002417 Issued in PA
Practice address
1001 W 9TH Ave
Suite B
King of Prussia, PA 19406-1209
Phone
(610) 831-1856
Fax
(877) 891-3208
NPI assigned
Sep 10, 2014
Last updated
Jun 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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 BH002417 PA Primary

Addresses

Primary practice location

1001 W 9TH Ave
Suite B
King of Prussia, PA 19406-1209

Mailing address

PO Box 51322
Bowling Green, KY 42102-5622
Phone (270) 777-9283

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

State licenses

LicenseStateTypeSpecialty
BH002417PAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1730580713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51322",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421025622",
            "telephone_number": "270-777-9283",
            "fax_number": "270-777-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 9TH AVE",
            "address_2": "SUITE B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061209",
            "telephone_number": "610-831-1856",
            "fax_number": "877-891-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEITZ",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.