Provider Demographics
NPI:1992964308
Name:KNEPP, MARSHA J (BCBA)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:J
Last Name:KNEPP
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 LEWISBERRY RD
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-2308
Mailing Address - Country:US
Mailing Address - Phone:717-991-0302
Mailing Address - Fax:
Practice Address - Street 1:430 LEWISBERRY RD
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-2308
Practice Address - Country:US
Practice Address - Phone:717-991-0302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABACB CERT. 1-06-2691101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health