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Organization

ABA SUPPORT SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN PATRICIA BASSETT BSL (LICENSED BEHAVIOR SPECIALIST)
(267) 402-8421
Entity
Organization

Contact information

Practice address
3928 BYRON RD, HUNTINGDON VALLEY, PA 19006-2323
(267) 402-8421
Mailing address
3928 BYRON RD, HUNTINGDON VALLEY, PA 19006-2323
(267) 402-8421

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
BEH000220
PA

Other

Enumeration date
06/05/2016
Last updated
06/05/2016
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