| NPI | 1538790720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BRANDON DEANGELO CEO 570-401-6409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2021-12-09 |