Organization
PARAMOUNT ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA BETHEA-MILLER BCBA, LBS (CO-OWNER)
(609) 649-5542
Entity
Organization
Contact information
Practice address
67 THORNRIDGE DR, LEVITTOWN, PA 19054-2216
(609) 433-7012
Mailing address
67 THORNRIDGE DR, LEVITTOWN, PA 19054-2216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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