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Organization

CANADA AND ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CELINA CANADA MA, BC-ABA, LBS (PROGRAM MANAGER)
(267) 428-1202
Entity
Organization

Contact information

Practice address
520 CARPENTER LN, PHILADELPHIA, PA 19119-3453
(267) 428-1202
Mailing address
7020 N BROAD ST APT C9, PHILADELPHIA, PA 19126-1719
(267) 428-1202

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104372491
PA
Enumeration date
08/16/2024
Last updated
08/16/2024
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