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BANNET AGESA BA
NPI 1164091641
Counselor - Professional in Berwyn, PA

Active since June 21, 2021
139 LEOPARD RD, BERWYN, PA 19312(215) 839-8769 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2025, Jun 21, 2021 (2 updates tracked since 2021).

About Bannet Agesa Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNET AGESA BA (NPI 1164091641) is an individual professional provider in Berwyn, Pennsylvania, licensed in Pennsylvania (PC018904) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1164091641
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBANNET AGESACredential: BA
Location Address139 LEOPARD RDBerwyn, PA 19312-1809
Mailing Address1041 W Bridge St # B5Phoenixville, PA 19460-4342 · (104) 159-3016 · Fax (610) 415-1656
Phone(215) 839-8769
Sole ProprietorNo
Enumeration DateJune 21, 2021
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1164091641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC018904
139 LEOPARD RD, Berwyn, PA 19312
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVEREUX FOUNDATION - WHITLOCK
Custodial Care Facility (Adult Care Home)
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6800
THE DEVEREUX FOUNDATION
Community/Behavioral Health
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6800
DEVEREUX FOUNDATION
Day Training, Developmentally Disabled Services
139 LEOPARD RD
BERWYN, PA 19312
Chester County (570) 839-6151
MARIA L MIGLIACCIO MA, LPC, BCBA
Counselor (Mental Health)
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6801
MS. MIYOSHI FAGGINS M.ED
Behavior Analyst
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 688-1636
THE DEVEREUX FOUNDATION
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6800
MADALENA REBECCA SANTORO MS, BCBA
Behavior Analyst
139 LEOPARD RD
BERWYN, PA 19312
Chester County (609) 943-1143
MS. ANNALISE MCGRATH MS
Behavior Analyst
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bannet Agesa's NPI number?

The NPI number for Bannet Agesa is 1164091641. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Bannet Agesa located?

Bannet Agesa practices at 139 Leopard Rd, Berwyn, PA 19312. The listed phone number is (215) 839-8769.

What is Bannet Agesa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bannet Agesa was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.