Healthcare Provider Details

I. General information

NPI: 1710891254
Provider Name (Legal Business Name): MARIAH STANZIANA LBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 BROWN AVE
TURTLE CREEK PA
15145-1137
US

IV. Provider business mailing address

119 LEBEOUF DR
NEW KENSINGTON PA
15068-9357
US

V. Phone/Fax

Practice location:
  • Phone: 412-965-4269
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH008806
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: