| Your Life Aba Pa, Llc | |
|
1196 E Washington Ln Philadelphia PA 19138-1044 | |
| (215) 866-0200 | |
| (215) 866-0201 |
| Full Name | Your Life Aba Pa, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1196 E Washington Ln, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Deena Stein Greenblatt (CREDENTIALING & INSURANCE CONTRACTI) |
| Authorized Official Contact | 6095254271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Life Aba Pa, Llc 2 Village Sq Ste 210 Baltimore MD 21210-1624 Ph: (609) 525-4271 | Your Life Aba Pa, Llc 1196 E Washington Ln Philadelphia PA 19138-1044 Ph: (215) 866-0200 |
| NPI Number | 1669199436 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669199436 | NPI | - | NPPES |
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