The Gregory Center For Applied Behavior Analysis | |
17 Stark St Pittston PA 18640-2026 | |
(570) 335-0357 | |
Not Available |
Full Name | The Gregory Center For Applied Behavior Analysis |
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Speciality | Behavior Analyst |
Location | 17 Stark St, Pittston, Pennsylvania |
Authorized Official Name and Position | Jodi Gregory (OWNER) |
Authorized Official Contact | 5703350357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Gregory Center For Applied Behavior Analysis 17 Stark St Pittston PA 18640-2026 Ph: (570) 335-0357 | The Gregory Center For Applied Behavior Analysis 17 Stark St Pittston PA 18640-2026 Ph: (570) 335-0357 |
NPI Number | 1710385323 |
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Provider Enumeration Date | 12/12/2014 |
Last Update Date | 12/12/2014 |
Identifier | Type | State | Issuer |
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1710385323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | BH00047 (Pennsylvania) | Primary |
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