MEDICARE: LONDYN ALEXANDRIA GENTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst	BH006929	PA

General Provider Information

NPI Number	:	1073356788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LONDYN ALEXANDRIA GENTRY

Provider Business Mailing Address
First Line	:	2000 HAMILTON ST STE C100A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-3863
Country	:	US
Telephone Number	:	832-576-7215
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 HAMILTON ST STE C100A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-3863
Country	:	US
Telephone Number	:	856-346-0005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2024
Last Update Date	:	06/18/2024

Similar Medicare Providers

1285580027 — MICHAEL JOSEPH RAYMOND ALLOCCA
Practice Location Address:

2000 HAMILTON ST STE C100A
PHILADELPHIA, PA
19130-3863

Practice Phone: 856-346-0005
Practice Fax:

1083848931 — DR. MARIA CRISTINA CORDERO-RICARDO D.M.D
Practice Location Address:

2000 HAMILTON ST STE 304
PHILADELPHIA, PA
19130-3863

Practice Phone: 267-507-1064
Practice Fax:

1699315689 — DAWN PHILIP
Practice Location Address:

2000 HAMILTON ST STE 304
PHILADELPHIA, PA
19130-3863

Practice Phone: 917-657-5180
Practice Fax:

1891566428 — LIANA KATHERINE PANIK LBS
Practice Location Address:

2000 HAMILTON ST STE C100A
PHILADELPHIA, PA
19130-3863

Practice Phone: 856-346-0005
Practice Fax:

1184481020 — APRIL PATRICE WILLIAMS M.S., LBS
Practice Location Address:

2000 HAMILTON ST STE C100A
PHILADELPHIA, PA
19130-3863

Practice Phone: 856-346-0005
Practice Fax:

1952135329 — ALLYSA PRAY LBS
Practice Location Address:

2000 HAMILTON ST STE C100A
PHILADELPHIA, PA
19130-3863

Practice Phone: 856-346-0005
Practice Fax:

Directions to “ LONDYN ALEXANDRIA GENTRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.