Organization
PREPARING INDIVIDUALS TODAY FOR TOMORROW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIQ LOCUS MS, BCBA, LBS (CLINICAL SERVICE EXECUTIVE)
(484) 335-6100
Entity
Organization
Contact information
Practice address
4443 CIRCLE DR, BETHLEHEM, PA 18020-9607
(484) 335-6100
Mailing address
PO BOX 20503, LEHIGH VALLEY, PA 18002-0503
(484) 335-6100
(484) 335-6104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35788
BACB
PA
Enumeration date
07/23/2019
Last updated
08/05/2019
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