NPI | 1134308570 |
---|---|
Entity Type | Organization |
Authorized Contact | JO ANN DONNELLY Director 570-296-3992 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA 243890) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2007-11-02 |
Last Update Date | 2022-02-03 |