Bata Inc. | |
2751 W Main St Spring Glen PA 17978-9548 | |
(570) 691-6726 | |
Not Available |
Full Name | Bata Inc. |
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Speciality | Behavior Analyst |
Location | 2751 W Main St, Spring Glen, Pennsylvania |
Authorized Official Name and Position | Bernadine Santai Mcnamara (PRESIDENT) |
Authorized Official Contact | 5706916726 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bata Inc. 600 Lytle St Minersville PA 17954-1813 Ph: (570) 691-6726 | Bata Inc. 2751 W Main St Spring Glen PA 17978-9548 Ph: (570) 691-6726 |
NPI Number | 1003194184 |
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Provider Enumeration Date | 07/24/2011 |
Last Update Date | 07/24/2011 |
Identifier | Type | State | Issuer |
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1003194184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1096458 (Pennsylvania) | Primary |
1041C0700X | Social Worker - Clinical | CW015109 (Pennsylvania) | Secondary |