Brenda L Eaton, BCBA
Behavior Analyst in Malvern, PA. Individual provider (NPI-1).
NPI number1295541233
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1295541233
- Entity type
- Individual (NPI-1)
- Name
- Brenda L Eaton
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2024
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-10-7767 | PA | Yes |
Practice location
3000 Ruby Crest Dr Apt 3206Malvern, PA 19355-8828
Phone 484-955-4502
Mailing address
3000 Ruby Crest Dr Apt 3206Malvern, PA 19355-8828
Phone 484-955-4502
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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