Organization
PHILLY ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR KOGAN (CEO)
(215) 960-0174
Entity
Organization
Contact information
Practice address
7244 CASTOR AVE # 8201, PHILADELPHIA, PA 19149-1109
(215) 960-0174
Mailing address
7244 CASTOR AVE # 8201, PHILADELPHIA, PA 19149-1109
(215) 960-0174
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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