| Early Intervention Behavior Intervention | |
|
1021 Springboard Drive Hershey PA 17033-1715 | |
| (717) 835-0310 | |
| (717) 835-0314 |
| Full Name | Early Intervention Behavior Intervention |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 1021 Springboard Drive, Hershey, Pennsylvania |
| Authorized Official Name and Position | Sabrina Marie Delong (COMPLIANCE OFFICER) |
| Authorized Official Contact | 7175835102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Intervention Behavior Intervention 1021 Springboard Drive Hershey PA 17033-1715 Ph: (717) 835-0310 | Early Intervention Behavior Intervention 1021 Springboard Drive Hershey PA 17033-1715 Ph: (717) 835-0310 |
| NPI Number | 1609938513 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609938513 | NPI | - | NPPES |
| 1013916350008 | Medicaid | PA | |
| 1013916350009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
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