| NPI | 1629362538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ROWE Executive Director 610-660-2170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1063173) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA OP102029) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS007950L) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |