| Beyond Autism Services Llc | |
|
77 W Baltimore Pike Ste 100b Media PA 19063-5639 | |
| (610) 572-5520 | |
| (610) 572-5521 |
| Full Name | Beyond Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 77 W Baltimore Pike Ste 100b, Media, Pennsylvania |
| Authorized Official Name and Position | Jacqueline Godwin (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4844314677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Autism Services Llc 77 W Baltimore Pike Ste 100b Media PA 19063-5639 Ph: (610) 572-5520 | Beyond Autism Services Llc 77 W Baltimore Pike Ste 100b Media PA 19063-5639 Ph: (610) 572-5520 |
| NPI Number | 1275118077 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275118077 | NPI | - | NPPES |
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