Provider Demographics
NPI:1144630633
Name:ESLIGNER, REBECCA (MA)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ESLIGNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E MAIN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SHIREMANSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17011-6398
Mailing Address - Country:US
Mailing Address - Phone:717-592-8024
Mailing Address - Fax:
Practice Address - Street 1:130 E MAIN ST APT 3
Practice Address - Street 2:
Practice Address - City:SHIREMANSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17011-6398
Practice Address - Country:US
Practice Address - Phone:717-592-8024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001872103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst