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NPI Code Detail

MEDICARE: KRISTA PAIGE STANLEY BCBA

MEDICARE: KRISTA PAIGE STANLEY 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
1103K00000XBehavior AnalystBH004209PA
2103K00000XBehavior Analyst1-18-32966

General Provider Information

NPI Number : 1992358733
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA PAIGE STANLEY BCBA
Provider Business Mailing Address
First Line : 7007 CLUBVIEW DR
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-3600
Country : US
Telephone Number : 412-735-0709
Fax Number :
Provider Business Practice Location Address
First Line : 100 EMERSON LN STE 1525
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-3484
Country : US
Telephone Number : 412-735-0709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2019
Last Update Date : 07/22/2021

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Directions to “ KRISTA PAIGE STANLEY BCBA” Practice Location

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