MEDICARE: KAREN NORD MA, LPC, 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	101YP2500X	Professional Counselor	PC004736	PA
2	103K00000X	Behavior Analyst	1-10-7338	PA

General Provider Information

NPI Number	:	1225345176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN NORD MA, LPC, BCBA

Provider Business Mailing Address
First Line	:	2520 NEW BUTLER RD
Second Line	:	SUITE 100
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3225
Country	:	US
Telephone Number	:	724-856-3657
Fax Number	:	724-856-3658

Provider Business Practice Location Address
First Line	:	2520 NEW BUTLER RD
Second Line	:	SUITE 100
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3225
Country	:	US
Telephone Number	:	724-856-3657
Fax Number	:	724-856-3658

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

Provider Enumeration Date	:	09/13/2010
Last Update Date	:	03/08/2017

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