Behavior Analysis & Therapy Partners | |
183 Old Belmont Ave Bala Cynwyd PA 19004-1934 | |
(610) 664-6200 | |
(610) 664-6202 |
Full Name | Behavior Analysis & Therapy Partners |
---|---|
Speciality | Psychologist |
Location | 183 Old Belmont Ave, Bala Cynwyd, Pennsylvania |
Authorized Official Name and Position | Gary Ames (PSYCHOLOGIST) |
Authorized Official Contact | 6106646200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Behavior Analysis & Therapy Partners 28 Rock Hill Rd Bala Cynwyd PA 19004-2132 Ph: (610) 664-6200 | Behavior Analysis & Therapy Partners 183 Old Belmont Ave Bala Cynwyd PA 19004-1934 Ph: (610) 664-6200 |
NPI Number | 1588723282 |
---|---|
Provider Enumeration Date | 12/08/2006 |
Last Update Date | 03/26/2012 |
Medicare PECOS PAC ID | 8123296340 |
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Medicare Enrollment ID | O20110714000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588723282 | NPI | - | NPPES |
102159515 | Medicaid | PA | |
101683738 | Medicaid | PA | |
101667609 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS005947L (Pennsylvania) | Primary |
103T00000X | Psychologist | PS016410 (Pennsylvania) | Secondary |
Provider Name | Gary L Ames |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1427124924 PECOS PAC ID: 2466432489 Enrollment ID: I20040721000949 |
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