Individual provider Active NPI

Patricia Mary Larson, BSL

  • Assistant Behavior Analyst
  • Monroeville, PA
National Provider Identifier
1821686171
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
BH004275 Issued in PA
Practice address
4250 Old William Penn Hwy
Monroeville, PA 15146-1622
Phone
(412) 573-0141
Fax
(412) 573-0148
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X BH004275 PA Primary

Addresses

Primary practice location

4250 Old William Penn Hwy
Monroeville, PA 15146-1622

Mailing address

4250 Old William Penn Hwy
Monroeville, PA 15146-1622
Phone (412) 573-0141

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

State licenses

LicenseStateTypeSpecialty
BH004275PAMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1821686171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 OLD WILLIAM PENN HWY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461622",
            "telephone_number": "412-573-0141",
            "fax_number": "412-573-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 OLD WILLIAM PENN HWY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461622",
            "telephone_number": "412-573-0141",
            "fax_number": "412-573-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "credential": "BSL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "PA",
            "license": "BH004275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.