| Autism Specific Consulting Pllc | |
|
201 Lackawanna Ave Ste 314 Scranton PA 18503-1953 | |
| (570) 354-2127 | |
| (570) 507-9657 |
| Full Name | Autism Specific Consulting Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Lackawanna Ave Ste 314, Scranton, Pennsylvania |
| Authorized Official Name and Position | Kenneth John Matsko (PRESIDENT) |
| Authorized Official Contact | 5703542127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Specific Consulting Pllc 201 Lackawanna Ave Ste 314 Scranton PA 18503-1953 Ph: (570) 540-9428 | Autism Specific Consulting Pllc 201 Lackawanna Ave Ste 314 Scranton PA 18503-1953 Ph: (570) 354-2127 |
| NPI Number | 1205341286 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/15/2019 |
| Certification Date | 12/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205341286 | NPI | - | NPPES |
| 1034027290003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH001844 (Pennsylvania) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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