ABA Therapy Services LLC
Organization Active NPI Community/Behavioral Health Agency · Pocono Summit, PA
NPI 1114450400 · NPPES record last updated Apr 4, 2017
Key facts
- NPI
- 1114450400
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- BH001527 (PA)
- Legal business name
- ABA THERAPY SERVICES LLC
- Practice address
- 109 Plaza Dr
Pocono Summit, PA 18346-7844 - Phone
- (570) 216-3900
- NPI assigned
- Apr 4, 2017
- Organization subpart
- No
Authorized official
- Name
- Ms. Beth L Raiola, BCBA
- Title
- Director
- Phone
- (570) 216-3900
Practitioners 1
National Provider Directory
Locations
109 Plaza Dr
Pocono Summit, PA 18346
Phone (570) 216-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | BH001527 | PA | Yes |
Addresses
Primary practice location
109 Plaza Dr
Pocono Summit, PA 18346-7844
Mailing address
6506 Runnymead LN
Tobyhanna, PA 18466-3252
Other providers in Pocono Summit, PA
- Edward Arthur Achiron
- Advancing Wellness in Psychiatry, Nurse Practitioner Services, LLC
- Taylor Elizabeth Baloga
- Fabienne Bazile
- Amanda J Brown
All providers in Pocono Summit, PA · Community/Behavioral Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.