Rian Brown-Beasley

Individual provider Active NPI Behavior Analyst · Glenside, PA

NPI 1992102446 · NPPES record last updated Nov 28, 2014

Key facts

NPI
1992102446
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
BH001112 (PA)
Practice address
1021 Garfield Ave
Glenside, PA 19038-1910
Phone
(856) 266-6390
NPI assigned
Nov 28, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BH001112PAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH001112 PA Yes

Addresses

Primary practice location

1021 Garfield Ave
Glenside, PA 19038-1910

Mailing address

1021 Garfield Ave
Glenside, PA 19038-1910

Other providers in Glenside, PA

All providers in Glenside, PA · Behavior Analyst in Pennsylvania

Sources for this page

Verify at the official NPI Registry.