Healthcare Provider Details
I. General information
NPI: 1619830882
Provider Name (Legal Business Name): APRIL WATERHOUSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 BENT CREEK BLVD STE 2
MECHANICSBURG PA
17050-1938
US
IV. Provider business mailing address
640 FREEDOM BUSINESS CTR DR STE 220
KING OF PRUSSIA PA
19406-1376
US
V. Phone/Fax
- Phone: 484-965-9966
- Fax: 484-231-8631
- Phone: 484-965-9966
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-24-393933 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: