Active NPI
Danielle N Pelz, MS, BCBA
- Behavior Analyst
- Marion, IN
National Provider Identifier
1952606204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-9420
- Practice address
- 3426 W Delphi Pike
Marion, IN 46952-9266 - Phone
- (410) 688-9989
- NPI assigned
- Jan 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-11-9420 | Primary |
Addresses
Primary practice location
3426 W Delphi Pike
Marion, IN 46952-9266
Mailing address
12022 Redding Dr
Fort Wayne, IN 46814-9777
Phone (410) 688-9989
Other practice location 1
500 E Colonial Dr
Orlando, FL 32803-4504
Phone (407) 218-4347
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daniellep@livingforwardaba.com |
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
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Forward ABA, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
3426 W Delphi Pike
Marion, IN 46952
Phone (410) 688-9989
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.
-
- Behavior Analyst
- Marion, IN
- NPI 1205477452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1952606204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12022 REDDING DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468149777",
"telephone_number": "410-688-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3426 W DELPHI PIKE",
"city": "MARION",
"state": "IN",
"postal_code": "469529266",
"telephone_number": "410-688-9989"
}
],
"practiceLocations": [
{
"address_1": "500 E Colonial Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328034504",
"country_code": "US",
"telephone_number": "407-218-4347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELZ",
"first_name": "DANIELLE",
"middle_name": "N",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-9420",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daniellep@livingforwardaba.com",
"affiliation": "N",
"endpointDescription": "Living Forward ABA address",
"address_1": "3426 W Delphi Pike",
"city": "Marion",
"state": "IN",
"country_code": "US",
"postal_code": "469529266",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.