Organization
KINNEY CENTER FOR AUTISM EDUCATION AND SUPPORT
Active
Parent organization
SAINT JOSEPH'S UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOSEPH'S UNIVERSITY
Authorized official
MICHELLE ROWE PHD (EXECUTIVE DIRECTOR)
(610) 660-2170
Entity
Organization
Contact information
Practice address
5600 CITY AVE, PHILADELPHIA, PA 19131-1308
(610) 660-2170
(610) 660-2175
Mailing address
5600 CITY AVE, PHILADELPHIA, PA 19131-1308
(610) 660-2170
(610) 660-2175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1063173
PA
103K00000X
Behavior Analyst
OP102029
PA
103TC0700X
Clinical Psychologist
PS007950L
PA
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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