Individual provider Active NPI

Manuella Calderon

  • Behavior Analyst
  • State College, PA
National Provider Identifier
1851267652
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH004728 Issued in PA
Practice address
2160 Sandy Dr Ste D
State College, PA 16803-2205
Phone
(814) 380-9180
NPI assigned
Oct 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 BH004728 PA Primary

Addresses

Primary practice location

2160 Sandy Dr Ste D
State College, PA 16803-2205

Mailing address

2160 Sandy Dr Ste D
State College, PA 16803-2205
Phone (814) 380-9180

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
BH004728PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hummingbird ABA Therapy, LLC Behavior Analyst CurrentSince Oct 21, 2025 Accepting new patients

Locations

2160 Sandy Dr
Ste D
State College, PA 16803
Phone (814) 380-9180

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.

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1851267652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205",
            "telephone_number": "814-380-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032205",
            "telephone_number": "814-380-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "MANUELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.