Amy Antonioli, BCBA, LBS
Counselor, Professional in Fleetwood, PA. Individual provider (NPI-1).
NPI number1639617434
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1639617434
- Entity type
- Individual (NPI-1)
- Name
- Amy Antonioli
- Credential
- BCBA, LBS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2017
- Certification date
- Nov 5, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | BH005613 | PA | Yes |
Practice location
1 W Main StFleetwood, PA 19522-1350
Phone 814-596-2931
Mailing address
One West Main St.Fleetwood, PA 19522-1356
Phone 814-596-2931
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