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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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