Provider Demographics
NPI:1962084855
Name:STANGLER, JAMES (MSED ; BCBA; LBS-PA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:STANGLER
Suffix:
Gender:M
Credentials:MSED ; BCBA; LBS-PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 MOUNT VERNON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3114
Mailing Address - Country:US
Mailing Address - Phone:484-561-7444
Mailing Address - Fax:
Practice Address - Street 1:2250 CHAPEL AVE W STE 110
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2051
Practice Address - Country:US
Practice Address - Phone:877-222-0399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-19-39218103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst