Magnotta Behavioral Health, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAGNOTTA BEHAVIORAL HEALTH, LLC

Practice address

5 Great Valley Pkwy Ste 263
Malvern, PA 19355-1426

Phone

(610) 889-1753

NPI assigned

Nov 17, 2021

Last updated

Mar 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario Magnotta, BCBA, LBSNPI 1649862640

Title

Ceo

Phone

(610) 889-1753

Specialties & licenses 2

Addresses

Locations

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.

• Mario Magnotta, BCBA

  • Behavior Analyst
  • Downingtown, PA
  • NPI 1649862640
  NPD Authorized official

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1750048450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GREAT VALLEY PKWY STE 263",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551426",
            "telephone_number": "610-889-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GREAT VALLEY PKWY STE 263",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551426",
            "telephone_number": "610-889-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOTTA BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "MAGNOTTA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-889-1753",
        "authorized_official_credential": "BCBA, LBS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Malvern, PA
• Providers in Malvern, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.