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NPI Code Detail

MEDICARE: EMILIE BETTERS MS, BCBA, LBS

MEDICARE:   EMILIE  BETTERS  MS, BCBA, LBS
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
1103K00000XBehavior Analyst12046121PA

General Provider Information

NPI Number : 1417468174
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIE BETTERS MS, BCBA, LBS
Provider Business Mailing Address
First Line : 4662 ROSINA WAY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1562
Country : US
Telephone Number : 717-553-0955
Fax Number :
Provider Business Practice Location Address
First Line : 850 TOWBIN AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5928
Country : US
Telephone Number : 833-599-2560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2017
Last Update Date : 05/22/2025

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