| Autism Behavioral Services | |
|
1122 Wyoming Ave Exeter PA 18643 | |
| (570) 655-1667 | |
| Not Available |
| Full Name | Autism Behavioral Services |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1122 Wyoming Ave, Exeter, Pennsylvania |
| Authorized Official Name and Position | Jennifer Dominick (OWNER, CEO) |
| Authorized Official Contact | 5709547475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Behavioral Services 207 E 8th St Wyoming PA 18644-2040 Ph: () - | Autism Behavioral Services 1122 Wyoming Ave Exeter PA 18643 Ph: (570) 655-1667 |
| NPI Number | 1285140608 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285140608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
Autism Behavioral Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Wyoming Ave, Exeter, PA 18643 Phone: 570-655-1667 Fax: 570-602-4100 | |
Autism Behavioral Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Wyoming Ave, Exeter, PA 18643 Phone: 570-655-1667 Fax: 570-602-4100 | |
Autism Behavioral Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Wyoming Ave, Exeter, PA 18643 Phone: 570-655-1667 Fax: 570-602-4100 | |
Autism Behavioral Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Wyoming Ave, Exeter, PA 18643 Phone: 570-655-1667 |