Pennsylvania Autism Action Center Llc is a
Behavior Analyst based in Brodheadsville, Pennsylvania. Pennsylvania Autism Action Center Llc is licensed to practice in Pennsylvania (license number 1-03-1139) and their current practice location is
2071 Route 209, Brodheadsville, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(570) 992-6720.
NPI number for Pennsylvania Autism Action Center Llc is 1568809275 and their current mailing address is 2071 Route 209, Brodheadsville, Pennsylvania. Pennsylvania Autism Action Center Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1568809275.
Healthcare Provider's Profile
Full Name | Pennsylvania Autism Action Center Llc |
---|
Type | Facility |
---|
Speciality | Behavior Analyst |
---|
Location | 2071 Route 209, Brodheadsville, Pennsylvania |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568809275
- Provider Enumeration Date: 06/04/2013
- Last Update Date: 03/09/2017
Medical Identifiers
Medical identifiers for Pennsylvania Autism Action Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568809275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 1-03-1139 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pennsylvania Autism Action Center Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pennsylvania Autism Action Center Llc 2071 Route 209, Brodheadsville, PA 18322-7754 Ph: (570) 992-6720 | Pennsylvania Autism Action Center Llc 2071 Route 209, Brodheadsville, PA 18322-7754 Ph: (570) 992-6720 |
Reviews and Comments