Organization
ABA THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH L RAIOLA BCBA (DIRECTOR)
(570) 216-3900
Entity
Organization
Contact information
Practice address
109 PLAZA DR, POCONO SUMMIT, PA 18346-7844
(570) 216-3900
Mailing address
6506 RUNNYMEAD LN, TOBYHANNA, PA 18466-3252
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH001527
PA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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