Organization
PENNSYLVANIA AUTISM ACTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DEMARSH (OWNER/DIRECTOR OF OPERATIONS)
(570) 992-6720
Entity
Organization
Contact information
Practice address
2071 ROUTE 209, TOBYHANNA, PA 18322
(570) 992-6720
(570) 992-6736
Mailing address
2071 ROUTE 209, TOBYHANNA, PA 18466
(570) 992-6720
(570) 992-6736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22395
PA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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