Organization
AUTISM DIAGNOSTIC EVALUATIONS RESOURCES SERVICES
Active
Organization
AUTISM DIAGNOSTIC EVALUATIONS RESOURCES SERVICES
Active
Other names
ADERS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE JAMES MCANNANEY MSW (BEHAVIOR SPECIALIST)
(570) 204-3717
Entity
Organization
Contact information
Practice address
276 GRAYLYN CREST DR, NEW COLUMBIA, PA 17856
(570) 204-3717
Mailing address
276 GRAYLYN CREST DR, NEW COLUMBIA, PA 17856-9418
(570) 204-3717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1052542
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032542302
DUNS
PA
01
—
1-052-542
BCBA
PA
01
—
102523480
MASTER PROVIDER INDEX (MPI)
PA
Enumeration date
08/07/2013
Last updated
08/22/2018
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