| 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 |