| Autism Behavioral Services, Inc | |
|
1122 Wyoming Ave Exeter PA 18643-1918 | |
| (570) 655-1667 | |
| (570) 602-4100 |
| Full Name | Autism Behavioral Services, Inc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1122 Wyoming Ave, Exeter, Pennsylvania |
| Authorized Official Name and Position | Mary J Vesloski (PRESIDENT) |
| Authorized Official Contact | 5706551667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Behavioral Services, Inc 1122 Wyoming Ave Exeter PA 18643-1918 Ph: (570) 655-1667 | Autism Behavioral Services, Inc 1122 Wyoming Ave Exeter PA 18643-1918 Ph: (570) 655-1667 |
| NPI Number | 1710297163 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710297163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS004215L (Pennsylvania) | 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 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Wyoming Ave, Exeter, PA 18643 Phone: 570-655-1667 | |
Autism Behavioral Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Wyoming Ave, Exeter, PA 18643 Phone: 570-655-1667 |