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Organization

SO LOVE AUTISTIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VENUS A DAVID M.ED., LBS (FOUNDER/EXECUTIVE DIRECTOR)
(610) 446-3680
Entity
Organization

Contact information

Practice address
335 BISHOP HOLLOW RD, NEWTOWN SQUARE, PA 19073-3255
(610) 446-3680
(484) 652-2185
Mailing address
335 BISHOP HOLLOW RD, NEWTOWN SQUARE, PA 19073-3255
(610) 446-3680
(484) 652-2185

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103048922-0003
PA
Enumeration date
12/16/2014
Last updated
04/12/2024
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