Organization
UMBRELLA FUNCTIONAL CONSULTING & SUPPORT TEAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA THERESE DUERSON M.ED, GCT ABA (OWNER/BEHAVIOR SPECIALIST)
(610) 470-3351
Entity
Organization
Contact information
Practice address
2113 PENNSYLVANIA AVE, CROYDON, PA 19021-6862
(610) 470-3351
Mailing address
2113 PENNSYLVANIA AVE, CROYDON, PA 19021-6862
(610) 470-3351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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