| Gene N Brosius Behavior Analysis Counseling | |
|
935 Route 522 Selinsgrove PA 17870-9714 | |
| (570) 412-3046 | |
| Not Available |
| Full Name | Gene N Brosius Behavior Analysis Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 935 Route 522, Selinsgrove, Pennsylvania |
| Authorized Official Name and Position | Gene Newton Brosius (OWNER) |
| Authorized Official Contact | 5704123046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gene N Brosius Behavior Analysis Counseling 31 Walnut St Milton PA 17847-1217 Ph: (570) 412-3046 | Gene N Brosius Behavior Analysis Counseling 935 Route 522 Selinsgrove PA 17870-9714 Ph: (570) 412-3046 |
| NPI Number | 1780069880 |
|---|---|
| Provider Enumeration Date | 07/30/2015 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780069880 | NPI | - | NPPES |
| 101992662 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC002400 (Pennsylvania) | Primary |
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