| NPI | 1023573680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLEMENTE Bcba 215-452-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2023-08-28 |