Organization
HUMMINGBIRD ABA THERAPY, LLC
Active
Other names
Hummingbird ABA Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANGSTADT MA, BCBA, LBS, IBA (OWNER/CLINICAL DIRECTOR)
(814) 380-9180
Entity
Organization
Contact information
Practice address
1500 E BRANCH RD STE 200, STATE COLLEGE, PA 16801-6921
(814) 380-9180
(814) 406-4244
Mailing address
318 BOTTORF DR, STATE COLLEGE, PA 16801-7128
(814) 380-9180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038509600002
—
PA
Enumeration date
01/25/2022
Last updated
01/25/2022
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