So Love Autistic Center | |
335 Bishop Hollow Rd Newtown Square PA 19073-3255 | |
(610) 446-3680 | |
(484) 652-2185 |
Full Name | So Love Autistic Center |
---|---|
Speciality | Behavior Analyst |
Location | 335 Bishop Hollow Rd, Newtown Square, Pennsylvania |
Authorized Official Name and Position | Venus A David (FOUNDER/EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6104463680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
So Love Autistic Center 335 Bishop Hollow Rd Newtown Square PA 19073-3255 Ph: (610) 446-3680 | So Love Autistic Center 335 Bishop Hollow Rd Newtown Square PA 19073-3255 Ph: (610) 446-3680 |
NPI Number | 1083012447 |
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Provider Enumeration Date | 12/16/2014 |
Last Update Date | 04/12/2024 |
Certification Date | 04/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083012447 | NPI | - | NPPES |
103048922-0003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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