Individual
GERALD ANTOINE COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCHA
Contact information
Practice address
800 COTTMAN AVENUE, 257 / B1, PHILADELPHIA, PA 19111
(215) 954-0621
Mailing address
800 COTTMAN AVENUE, 257 / B1, PHILADELPHIA, PA 19111
(215) 954-0621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
PA
106E00000X
Assistant Behavior Analyst
—
PA
106S00000X
Behavior Technician
—
—
251E00000X
Home Health Agency
—
PA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
PA
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
PA
332U00000X
Home Delivered Meals
—
PA
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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