Organization
EVOLUTIONS ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ASHBRIDGE BALAWEJDER LBS, BCBA, IBA (OWNER)
(215) 327-4174
Entity
Organization
Contact information
Practice address
233 SENECA ST., LESTER, PA 19029-1812
(215) 327-4174
Mailing address
233 SENECA ST., LESTER, PA 19029-1812
(215) 327-4174
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740413301
NPI TYPE 1
PA
Enumeration date
01/07/2022
Last updated
05/24/2023
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