Philip L Concors, M.SC.ED., BCBA

Individual provider Active NPI Behavior Analyst · Dover, DE

NPI 1891073136 · NPPES record last updated Aug 3, 2011

Key facts

NPI
1891073136
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-03-1130 (PA)
Practice address
1326 S Governors Ave
Suite C
Dover, DE 19904-4800
Phone
(302) 674-3350
Fax
(928) 752-3350
NPI assigned
Aug 3, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-03-1130 PA Yes

Addresses

Primary practice location

1326 S Governors Ave
Suite C
Dover, DE 19904-4800

Mailing address

1326 S Governors Ave
Suite C
Dover, DE 19904-4800
Phone (302) 674-3350

Other providers in Dover, DE

All providers in Dover, DE · Behavior Analyst in Delaware

Sources for this page

Verify at the official NPI Registry.