Organization
EXPANDABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN A LEE SHANE BCBA (EXECUTIVE DIRECTOR)
(484) 678-1250
Entity
Organization
Contact information
Practice address
107 PETERS CT, COATESVILLE, PA 19320-2719
(484) 678-1250
Mailing address
107 PETERS CT, COATESVILLE, PA 19320-2719
(484) 678-1250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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