Organization
MISSION AUTISM CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BRANDON DEANGELO (CEO)
(570) 401-6409
Entity
Organization
Contact information
Practice address
11921 BOURNEFIELD WAY STE A, SILVER SPRING, MD 20904-7815
(888) 726-4774
(570) 362-5112
Mailing address
9 BANKS AVE, MCADOO, PA 18237-2508
(570) 459-2889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/28/2020
Last updated
08/30/2024
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