| NPI | 1225674740 |
|---|---|
| Doing Business As | PRIME ABA |
| Entity Type | Organization |
| Authorized Contact | PERLA EDITH GOLDSTEIN Owner/Director 570-871-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-10-03 |