Mountain State Applied Behavior Analysis LLC
NPI 1093250060ActiveOrganization· Behavior Analyst· Martinsburg, WV
Behavior Analyst in Martinsburg, West Virginia, registered in NPPES in December 2016. The authorized official on file is Ezra Hall, Owner.
Overview
| NPI | 1093250060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2016 |
| Last updated in NPPES | Jan 4, 2022 |
| Certified by provider | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-14-16309 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Behavior Analyst providers in Martinsburg
- 1629930953
- 1265848451
- 1487244604
- 1720630940