Organization
APPLIED BEHAVIORAL SERVICES MASON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA STEIN GREENBLATT (PAYOE ENROLLMENT & CONTRACTING)
(609) 525-4271
Entity
Organization
Contact information
Practice address
7413 SQUIRE CT, WEST CHESTER, OH 45069-2313
(513) 847-4685
(513) 847-4763
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(609) 525-4271
(410) 415-5188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313145
—
OH
Enumeration date
07/25/2022
Last updated
04/24/2024
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