Active NPI
Liana Katherine Panik, LBS
- Behavior Analyst
- Philadelphia, PA
National Provider Identifier
1891566428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH007261
- Practice address
- 2000 Hamilton St Ste C100A
Philadelphia, PA 19130-3863 - Phone
- (856) 346-0005
- NPI assigned
- Jan 11, 2024
- Last updated
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | BH007261 | PA | Primary |
Addresses
Primary practice location
2000 Hamilton St Ste C100A
Philadelphia, PA 19130-3863
Mailing address
922 N 17TH St Unit C
Philadelphia, PA 19130-1771
Other practice location 1
1100 N Delaware Ave
Philadelphia, PA 19125-4305
Phone (267) 807-0550
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
| License | State | Type | Specialty |
|---|---|---|---|
| BH007261 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNNH Therapy LLC | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1891566428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 N 17TH ST UNIT C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191301771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HAMILTON ST STE C100A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303863",
"telephone_number": "856-346-0005"
}
],
"practiceLocations": [
{
"address_1": "1100 N Delaware Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191254305",
"country_code": "US",
"telephone_number": "267-807-0550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANIK",
"first_name": "LIANA",
"middle_name": "KATHERINE",
"credential": "LBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH007261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.