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Organization

BEYOND GRATEFUL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER SILVA MA BCBA (PRESIDENT)
(570) 846-0455
Entity
Organization

Contact information

Practice address
1015 WYOMING AVE, FORTY FORT, PA 18704-4002
(570) 846-0455
(888) 965-0581
Mailing address
1015 WYOMING AVE, FORTY FORT, PA 18704-4002
(570) 846-0455
(888) 965-0581

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
224ZE0001X
Environmental Modification Occupational Therapy Assistant
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
01/03/2024
Last updated
01/03/2024
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