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Organization
Active
Organization
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KHALIAH MOODY MS, LBS, BCBA (FOUNDER/CEO)
(215) 791-8430
Entity
Organization
Contact information
Practice address
406 N 65TH ST, PHILADELPHIA, PA 19151-4003
(215) 791-8430
(888) 493-3438
Mailing address
406 N 65TH ST, PHILADELPHIA, PA 19151-4003
(215) 791-8430
(888) 493-3438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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