Individual provider Active NPI

Sofia Glik

  • Behavior Analyst
  • Huntingdon Valley, PA
National Provider Identifier
1952061707
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH005606 Issued in PA
Practice address
111 Buck Rd Unit 14
Building 300 Unit 14
Huntingdon Valley, PA 19006-1900
Phone
(215) 330-4116
Fax
(215) 330-4118
NPI assigned
Dec 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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 BH005606 PA Primary

Addresses

Primary practice location

111 Buck Rd Unit 14
Building 300 Unit 14
Huntingdon Valley, PA 19006-1900

Mailing address

111 Buck Rd Unit 14
Huntingdon Valley, PA 19006-1544
Phone (215) 330-4116

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
BH005606PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
People First Associates CurrentSince Dec 26, 2021 Accepting new patients
Kidology, Inc. PastSince Nov 6, 2022 Accepting new patients

Locations

111 Buck Rd
Unit 14
Huntingdon Valley, PA 19006
Phone (215) 330-4116

111 Buck Rd
Unit 300
Huntingdon Vy, PA 19006
Phone (215) 330-4116

Organizations & group practices 2

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1952061707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BUCK RD UNIT 14",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061544",
            "telephone_number": "215-330-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BUCK RD UNIT 14",
            "address_2": "BUILDING 300 UNIT 14",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061900",
            "telephone_number": "215-330-4116",
            "fax_number": "215-330-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIK",
        "first_name": "SOFIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.