| Wyoming Valley Childrens Association | |
|
1133 Wyoming Ave Forty Fort PA 18704-4003 | |
| (570) 714-1246 | |
| (570) 714-1249 |
| Full Name | Wyoming Valley Childrens Association |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1133 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Nina Zanon (OFFICE MANAGER) |
| Authorized Official Contact | 5707141246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Valley Childrens Association 1133 Wyoming Ave Forty Fort PA 18704-4003 Ph: (570) 714-1246 | Wyoming Valley Childrens Association 1133 Wyoming Ave Forty Fort PA 18704-4003 Ph: (570) 714-1246 |
| NPI Number | 1639213473 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Medicare PECOS PAC ID | 6305369323 |
|---|---|
| Medicare Enrollment ID | O20250401000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639213473 | NPI | - | NPPES |
| 1000034800004 | Medicaid | PA |
| Provider Name | Leah M Tibus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811312903 PECOS PAC ID: 2365733904 Enrollment ID: I20160629000293 |
| Provider Name | Michael Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053492397 PECOS PAC ID: 9638525124 Enrollment ID: I20250307001852 |
| Provider Name | Elisabeth Kapolka |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184127227 PECOS PAC ID: 6608392741 Enrollment ID: I20250501000533 |
| Provider Name | Jane Zak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477001402 PECOS PAC ID: 6204352289 Enrollment ID: I20250502001283 |
| Provider Name | Jessica Hartz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639508674 PECOS PAC ID: 8426575424 Enrollment ID: I20250502001991 |
| Provider Name | Shari R Aude |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184765919 PECOS PAC ID: 2961929997 Enrollment ID: I20250502003164 |
| Provider Name | Jessica Marie Zielecki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114406394 PECOS PAC ID: 6204353105 Enrollment ID: I20250505001861 |
| Provider Name | Erin Nicole Holby |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619620184 PECOS PAC ID: 4587181441 Enrollment ID: I20250505003091 |
| Provider Name | Megan Elizabeth Florio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528897535 PECOS PAC ID: 1456878271 Enrollment ID: I20250506000997 |
| Provider Name | Irene U Ziegler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285775015 PECOS PAC ID: 1052839727 Enrollment ID: I20250516000342 |
Beyond Behavior Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Virginia Ter, Forty Fort, PA 18704 Phone: 570-846-0455 | |
John Della Rosa, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Welles St, Suite 114, Forty Fort, PA 18704 Phone: 570-331-2655 Fax: 570-331-2671 | |
Beyond Behavior Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-846-0455 | |
Jeffrey Fremont Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1264 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-8795 Fax: 570-288-3165 | |
Abby Russin, Ph.d., Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1516 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-287-5200 Fax: 570-609-1551 | |
Beyond Grateful Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-846-0455 Fax: 888-965-0581 |