Xavier, Peta

Xavier, Peta is an individual health care provider with primary practice located at 125 Schneider Dr , Lebanon PA 17046-4875. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Xavier, Peta can be contacted via phone (717) 270-2444.

Contact Information

Primary practice address
125 Schneider Dr Lebanon PA 17046-4875
Fax: (717) 270-2472
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X BH001357 Pennsylvania
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH001357 Pennsylvania

Profile Details

NPI number 1972126415
LBN Legal business name Xavier, Peta
Credentials MS, LBS
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2020
Last updated Nov 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972126415 NPPES
Pennsylvania Other BH001357 STATE LICENSE
Pennsylvania Other 14917473 STATE LICENSE

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