Active NPI
Stacey Edwards
- Behavior Analyst
- Lansdowne, PA
National Provider Identifier
1992178784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8617
- Practice address
- 232 Jackson Ave
Lansdowne, PA 19050-1411 - Phone
- (609) 828-3348
- NPI assigned
- Nov 3, 2015
- Last updated
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-11-8617 | Primary |
Addresses
Primary practice location
232 Jackson Ave
Lansdowne, PA 19050-1411
Mailing address
232 Jackson Ave
Lansdowne, PA 19050-1411
Phone (609) 828-3348
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH001514 | Other | PA | PENNSYLVANIA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS |
| 1-11-8617 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1992178784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 JACKSON AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190501411",
"telephone_number": "609-828-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 JACKSON AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190501411",
"telephone_number": "609-828-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "STACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-8617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
"identifier": "BH001514",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-11-8617",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansdowne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.