NPIMap

Allison Marie Easley, BSL

Individual provider Active NPI Behavior Analyst · Stewartstown, PA

NPI 1962287128 · NPPES record last updated Aug 28, 2023

Key facts

NPI
1962287128
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
BH004740 (PA)
Practice address
22 Fulton Ave
Stewartstown, PA 17363-4074
Phone
(443) 412-2186
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science - Law

State licenses

LicenseStateTypeSpecialty
BH004740PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Angelcare ABA, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH004740 PA Yes

Addresses

Primary practice location

22 Fulton Ave
Stewartstown, PA 17363-4074

Mailing address

22 Fulton Ave
Stewartstown, PA 17363-4074
Phone (443) 819-8915

Other providers in Stewartstown, PA

All providers in Stewartstown, PA · Behavior Analyst in Pennsylvania

Sources for this page

Verify at the official NPI Registry.