Organization
FIREBIRD MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN A KOSSOR MA (ADMIN ASSISTANT)
(610) 212-0738
Entity
Organization
Contact information
Practice address
120 E UWCHLAN AVE STE 202, EXTON, PA 19341-1275
(610) 524-8701
(610) 524-8705
Mailing address
120 E UWCHLAN AVE STE 202, EXTON, PA 19341-1275
(610) 524-8701
(610) 524-8705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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