Healthcare Provider Details

I. General information

NPI: 1144001090
Provider Name (Legal Business Name): CHRISTINA R SCAFFIDI LBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 PA - 100 UNIT 110
OREFIELD PA
18069
US

IV. Provider business mailing address

2909 PA - 100 SUITE 110
OREFIELD PA
18069
US

V. Phone/Fax

Practice location:
  • Phone: 570-460-0050
  • Fax:
Mailing address:
  • Phone: 570-460-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH008340
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: