Provider Demographics
NPI:1760808257
Name:RINGOLD, SETH IRWIN (MED, BCBA)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:IRWIN
Last Name:RINGOLD
Suffix:
Gender:M
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-3011
Mailing Address - Country:US
Mailing Address - Phone:412-621-6151
Mailing Address - Fax:412-621-6154
Practice Address - Street 1:4401 BUTLER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-3011
Practice Address - Country:US
Practice Address - Phone:412-621-6151
Practice Address - Fax:412-621-6154
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-09
Last Update Date:2014-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-11-8460103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst