| Legacy Consulting Group Llc | |
|
2930 Jasper St Unit 220 Philadelphia PA 19134-3526 | |
| (267) 225-5026 | |
| Not Available |
| Full Name | Legacy Consulting Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2930 Jasper St Unit 220, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ashley Smith (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2672255026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Consulting Group Llc 1001 S Broad St Apt 945 Philadelphia PA 19147-3677 Ph: () - | Legacy Consulting Group Llc 2930 Jasper St Unit 220 Philadelphia PA 19134-3526 Ph: (267) 225-5026 |
| NPI Number | 1942098868 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 05/09/2025 |
| Certification Date | 05/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942098868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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