MEDICARE: MRS. SIERRA THORNHILL 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
1	103K00000X	Behavior Analyst	1-20-43680	PA

General Provider Information

NPI Number	:	1649125816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SIERRA THORNHILL MS, BCBA, LBS

Provider Business Mailing Address
First Line	:	231 SUMMIT AVE
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-2509
Country	:	US
Telephone Number	:	215-407-3429
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 SUMMIT AVE
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-2509
Country	:	US
Telephone Number	:	215-407-3429
Fax Number	:

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

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

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