| Autism Diagnostic Evaluations Resources Services | |
|
276 Graylyn Crest Dr New Columbia PA 17856 | |
| (570) 204-3717 | |
| Not Available |
| Full Name | Autism Diagnostic Evaluations Resources Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 276 Graylyn Crest Dr, New Columbia, Pennsylvania |
| Authorized Official Name and Position | Steve James Mcannaney (BEHAVIOR SPECIALIST) |
| Authorized Official Contact | 5702043717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Diagnostic Evaluations Resources Services 276 Graylyn Crest Dr New Columbia PA 17856-9418 Ph: (570) 204-3717 | Autism Diagnostic Evaluations Resources Services 276 Graylyn Crest Dr New Columbia PA 17856 Ph: (570) 204-3717 |
| NPI Number | 1033541438 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033541438 | NPI | - | NPPES |
| 102523480 | Other | PA | MASTER PROVIDER INDEX (MPI) |
| 1-052-542 | Other | PA | BCBA |
| 032542302 | Other | PA | DUNS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1052542 (Pennsylvania) | Primary |