MEDICARE: DIFFERENT VISION INC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1285581066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIFFERENT VISION INC

Provider Business Mailing Address
First Line	:	1911 MONONGAHELA AVE
Second Line	:	PO BOX 8439
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-9998
Country	:	US
Telephone Number	:	412-956-0976
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 MONONGAHELA AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-2356
Country	:	US
Telephone Number	:	412-956-0976
Fax Number	:

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	JOELLE HOLLIS
Credential	:	M.ED
Telephone Number	:	412-956-0976

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/16/2026

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