| Magnotta Behavioral Health, Llc | |
|
5 Great Valley Pkwy Ste 263 Malvern PA 19355-1426 | |
| (610) 889-1753 | |
| Not Available |
| Full Name | Magnotta Behavioral Health, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5 Great Valley Pkwy Ste 263, Malvern, Pennsylvania |
| Authorized Official Name and Position | Mario Magnotta (CEO) |
| Authorized Official Contact | 6108891753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnotta Behavioral Health, Llc 5 Great Valley Pkwy Ste 263 Malvern PA 19355-1426 Ph: (610) 889-1753 | Magnotta Behavioral Health, Llc 5 Great Valley Pkwy Ste 263 Malvern PA 19355-1426 Ph: (610) 889-1753 |
| NPI Number | 1750048450 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 03/11/2022 |
| Certification Date | 03/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750048450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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