Organization
WYOMING VALLEY CHILDRENS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ZANON (OFFICE MANAGER)
(570) 714-1246
Entity
Organization
Contact information
Practice address
1133 WYOMING AVE, FORTY FORT, PA 18704-4003
(570) 714-1246
(570) 714-1249
Mailing address
1133 WYOMING AVE, FORTY FORT, PA 18704-4003
(570) 714-1246
(570) 714-1249
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000034800004
—
PA
Enumeration date
02/16/2007
Last updated
09/25/2025
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