Healthcare Provider Details

I. General information

NPI: 1487577201
Provider Name (Legal Business Name): JEANETTE MARIE ARVELO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 N 4TH ST
ALLENTOWN PA
18102-2540
US

IV. Provider business mailing address

645 N 4TH ST
ALLENTOWN PA
18102-2540
US

V. Phone/Fax

Practice location:
  • Phone: 835-201-4353
  • Fax:
Mailing address:
  • Phone: 835-201-4353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberNA
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: