Organization
SO LOVE AUTISTIC CENTER
Active
Organization
SO LOVE AUTISTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENUS A DAVID M.ED, LBS (CEO/CLINICAL DIRECTOR)
(610) 446-3680
Entity
Organization
Contact information
Practice address
335 BISHOP HOLLOW RD, NEWTOWN SQUARE, PA 19073-3255
(610) 446-3680
(484) 652-2185
Mailing address
335 BISHOP HOLLOW RD, NEWTOWN SQUARE, PA 19073-3255
(640) 446-3680
(484) 652-2185
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/12/2024
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