NLS ABA SERVICES LLC (NPI# 1962019406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962019406 |
| Entity Type | Organization |
| Organization Name | NLS ABA SERVICES LLC |
| Practice Address |
1086 Route 315 Plains PA 18702 |
| Practice Telephone | 5708237761 |
| Practice Fax Number | 5708228033 |
| Mailing Telephone | 5708237761 |
| Mailing Fax Number | 5708228033 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | DIANE MITERKO (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5708237761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
1086 ROUTE 315 |
| City | PLAINS |
| State | PA |
| Zip Code | 18702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104830769 | Susan Marie Dwyer | Physical Therapist | 1086 Route 315, Plains, PA 18702 | 2006-07-28 |
| 1790231306 | Erik Forsberg | Physical Therapist | 1086 Route 315, Plains, PA 18702 | 2016-09-01 |
| 1053703041 | Joseph D Newton-pretko | Physical Therapist | 1086 Route 315, Plains, PA 18702-8595 | 2015-02-27 |
| 1255583670 | Tianna Pauline Bolinsky | Physical Therapist | 1086 Route 315, Plains, PA 18702 | 2008-10-16 |
| 1760558233 | Lisa Hanley | Physical Therapist | 1086 Route 315, Plains, PA 18702 | 2006-11-28 |
| 1285700765 | Dawn M Acacio | Physical Therapist | 1086 Route 315, Pro Rehabilitation Services, Plains, PA 18702 | 2006-11-28 |
| 1821164393 | Lynn Marie Distasio | Physical Therapist | 1086 Route 315, Plains, PA 18702 | 2006-11-28 |
| 1265508741 | Janet Marie Coleman | Physical Therapist | 1086 Route 315, Pro Rehabilitation Services, Plains, PA 18702 | 2006-11-28 |
| 1912073396 | Mariclaire Thresten | Physical Therapist | 1086 Route 315, Plains, PA 18702 | 2006-11-28 |
| 1780750265 | Eric Paczewski | Physical Therapist | 1086 Route 315, Plains, PA 18702 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1073123907 | Dr. Cristin Hall Psychotherapy, LLC | Clinic/Center | 315 S Allen St Ste 219, State College, PA 16801-4850 | 2020-08-05 |
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1336775022 | Mindful Behavioral Health LLC | Clinic/Center | 134 S Highland Ave Ste 7, Pittsburgh, PA 15206-3968 | 2020-03-13 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1932744513 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1430 W Allen St, Allentown, PA 18102-2146 | 2019-11-07 |
| 1447894589 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 137 N 2nd St, Allentown, PA 18101-1935 | 2019-11-01 |
| 1972147023 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 709 W Emaus Ave, Allentown, PA 18103-6778 | 2019-11-01 |
| 1396399697 | The Counseling and Wellness Center of Wyomissing | Clinic/Center | 560 Van Reed Rd Ste 206, Wyomissing, PA 19610-1799 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.