Conestoga Behavioral Services LLC
Behavior Analyst in New Holland, PA. Organization (NPI-2).
NPI number1164038071
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1164038071
- Entity type
- Organization (NPI-2)
- Legal business name
- Conestoga Behavioral Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
350 E Conestoga StNew Holland, PA 17557-1308
Phone 717-418-4216
Mailing address
350 E Conestoga StNew Holland, PA 17557-1308
Phone 717-418-4216
Authorized official
Andrew Miller
Owner
7174184216
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