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Organization
PREPARING INDIVIDUALS TODAY FOR TOMORROW LLC
Active
Organization
PREPARING INDIVIDUALS TODAY FOR TOMORROW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIQ LOCUS MS, BCBA, LBS (CLINICAL SERVICE EXECUTIVE)
(484) 335-6100
Entity
Organization
Contact information
Practice address
4443 CIRCLE DR, BETHLEHEM, PA 18020-9607
(484) 335-6100
Mailing address
PO BOX 20503, LEHIGH VALLEY, PA 18002-0503
(484) 335-6100
(484) 335-6104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35788
BACB
PA
Enumeration date
07/23/2019
Last updated
08/05/2019
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