Teresa Ashbridge-Balawejder, BCBA, LBS

Individual provider Active NPI Behavior Analyst · Lester, PA

NPI 1740413301 · NPPES record last updated Jul 8, 2022

Key facts

NPI
1740413301
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
1014 4TH Ave
Lester, PA 19029-1812
Phone
(215) 327-4174
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutions ABA, LLC Behavior Analyst Current
since Jul 10, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

1014 4TH Ave
Lester, PA 19029-1812

Mailing address

1014 4TH Ave
Lester, PA 19029-1812
Phone (215) 327-4174

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL teresa@evolutionsaba.org Direct

Other providers in Lester, PA

All providers in Lester, PA · Behavior Analyst in Pennsylvania

Sources for this page

Verify at the official NPI Registry.