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Organization

FLOURISH ABA THERAPY

Active
Other names
Fabatherapy
Organization subpart
No

Provider details

NPI number
Authorized official
HANK TUND (PARTNER)
(484) 838-6173
Entity
Organization

Contact information

Practice address
13109 BUSTLETON AVE, SUITE A29, PHILADELPHIA, PA 19116
(484) 838-6173
Mailing address
PO BOX 52138, PHILADELPHIA, PA 19115-7138
(484) 838-6173

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
225XM0800X
Mental Health Occupational Therapist
235Z00000X
Speech-Language Pathologist
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
10/29/2020
Last updated
02/15/2021
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