Organization
SUSAN DEIKMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DEIKMAN MS, BCBA, LBS (MANAGING PARTNER)
(215) 586-1865
Entity
Organization
Contact information
Practice address
7401 OLD YORK RD, CARRIAGE HOUSE, ELKINS PARK, PA 19027-3005
(215) 586-1865
(512) 853-2523
Mailing address
8222 WESTMINSTER RD, ELKINS PARK, PA 19027-1409
12155861865
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003162
PA
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/21/2017
Last updated
05/21/2017
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