| Evolutions Aba, Llc | |
|
233 Seneca St. Lester PA 19029-1812 | |
| (215) 327-4174 | |
| Not Available |
| Full Name | Evolutions Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 233 Seneca St., Lester, Pennsylvania |
| Authorized Official Name and Position | Teresa Ashbridge Balawejder (OWNER) |
| Authorized Official Contact | 2153274174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolutions Aba, Llc 233 Seneca St. Lester PA 19029-1812 Ph: (215) 327-4174 | Evolutions Aba, Llc 233 Seneca St. Lester PA 19029-1812 Ph: (215) 327-4174 |
| NPI Number | 1942961362 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942961362 | NPI | - | NPPES |
| 1740413301 | Other | PA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |