| Pennsylvania Autism Action Center | |
|
2071 Route 209 Tobyhanna PA 18322 | |
| (570) 992-6720 | |
| (570) 992-6736 |
| Full Name | Pennsylvania Autism Action Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2071 Route 209, Tobyhanna, Pennsylvania |
| Authorized Official Name and Position | Michelle Demarsh (OWNER/DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5709926720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Autism Action Center 2071 Route 209 Tobyhanna PA 18466 Ph: (570) 992-6720 | Pennsylvania Autism Action Center 2071 Route 209 Tobyhanna PA 18322 Ph: (570) 992-6720 |
| NPI Number | 1609320936 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609320936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-22395 (Pennsylvania) | Primary |
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