Provider Demographics
NPI:1073162558
Name:RANALLI, JAMIE SARA (MED, BCBA, LBS)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:SARA
Last Name:RANALLI
Suffix:
Gender:
Credentials:MED, BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 VANADIUM RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1477
Mailing Address - Country:US
Mailing Address - Phone:412-489-6357
Mailing Address - Fax:888-271-0474
Practice Address - Street 1:363 VANADIUM RD STE 300
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1477
Practice Address - Country:US
Practice Address - Phone:412-489-6357
Practice Address - Fax:888-271-0474
Is Sole Proprietor?:No
Enumeration Date:2019-09-08
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH006812103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst