Organization
PENNSYLVANIA AUTISM ACTION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MEAENY DEMARSH MED (PRINCIPAL OWNER)
(570) 992-6720
Entity
Organization
Contact information
Practice address
2071 ROUTE 209, BRODHEADSVILLE, PA 18322-7754
(570) 992-6720
(570) 992-6736
Mailing address
2071 ROUTE 209, BRODHEADSVILLE, PA 18322-7754
(570) 992-6720
(570) 992-6736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1139
PA
225XP0200X
Pediatric Occupational Therapist
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Other
Enumeration date
06/04/2013
Last updated
03/09/2017
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