Yatta Pewa, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH005568 Issued in PA

Practice address

142 W Maryland Ave # a
Aldan, PA 19018-3124

Phone

(267) 255-6247

NPI assigned

Apr 27, 2022

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Yatta Pewa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1932844669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W MARYLAND AVE # A",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190183124",
            "telephone_number": "267-255-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W MARYLAND AVE # A",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190183124",
            "telephone_number": "267-255-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEWA",
        "first_name": "YATTA",
        "credential": "LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "BH005568",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YATTA",
            "last_name": "PEWA",
            "credential": "LBS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.