Organization
MAGNOTTA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO MAGNOTTA BCBA, LBS (CEO)
(610) 889-1753
Entity
Organization
Contact information
Practice address
5 GREAT VALLEY PKWY STE 263, MALVERN, PA 19355-1426
(610) 889-1753
Mailing address
5 GREAT VALLEY PKWY STE 263, MALVERN, PA 19355-1426
(610) 889-1753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/17/2021
Last updated
03/11/2022
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