MEDICARE: MR. JOSHUA ALAN ZEIGLER MS BCBA

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	103K00000X	Behavior Analyst	BH002583	PA

General Provider Information

NPI Number	:	1467921304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA ALAN ZEIGLER MS BCBA

Provider Business Mailing Address
First Line	:	54 QUEENS BRIDGE RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19057-2005
Country	:	US
Telephone Number	:	717-448-0283
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 QUEENS BRIDGE RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19057-2005
Country	:	US
Telephone Number	:	717-448-0283
Fax Number	:

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

Provider Enumeration Date	:	11/21/2018
Last Update Date	:	11/21/2018

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