MAIN LINE BEHAVIOR SERVICES
NPI 1770068587
Behavior Analyst in Philadelphia, PA

Active since September 27, 2018
523 N BROAD ST APT 503, PHILADELPHIA, PA 19123(215) 995-1850 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Behavior Analyst

About MAIN LINE BEHAVIOR SERVICES

This page provides the complete NPI Profile along with additional information for Main Line Behavior Services, a provider established in Philadelphia, Pennsylvania operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1770068587 assigned on September 2018. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jessica Baldwin (Owner And Director)

NPI
1770068587 Verify this NPI
Provider Name
MAIN LINE BEHAVIOR SERVICES
Entity Type
Organization
Location Address
523 N BROAD ST APT 503 PHILADELPHIA, PA 19123
Location Phone
(215) 995-1850
Mailing Address
523 N BROAD ST APT 503 PHILADELPHIA, PA 19123
Mailing Phone
(215) 995-1850
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2018
Last Update Date
09-27-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSICA BALDWIN

Authorized Official Title
OWNER AND DIRECTOR
Authorized Official Phone
(215) 995-1850

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1528303898OTHER (01)NOT KNOWN

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770068587, enumerated as an "organization" on September 27, 2018.

The provider is located at 523 N BROAD ST APT 503 PHILADELPHIA, PA 19123 and the phone number is (215) 995-1850.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.