Autism Specific Consulting Pllc | |
201 Lackawanna Ave Ste 314 Scranton PA 18503-1953 | |
(570) 354-2127 | |
(570) 507-9657 |
Full Name | Autism Specific Consulting Pllc |
---|---|
Speciality | Community/behavioral Health |
Location | 201 Lackawanna Ave Ste 314, Scranton, Pennsylvania |
Authorized Official Name and Position | Kenneth John Matsko (PRESIDENT) |
Authorized Official Contact | 5703542127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Specific Consulting Pllc 201 Lackawanna Ave Ste 314 Scranton PA 18503-1953 Ph: (570) 540-9428 | Autism Specific Consulting Pllc 201 Lackawanna Ave Ste 314 Scranton PA 18503-1953 Ph: (570) 354-2127 |
NPI Number | 1205341286 |
---|---|
Provider Enumeration Date | 12/12/2017 |
Last Update Date | 12/15/2019 |
Certification Date | 12/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205341286 | NPI | - | NPPES |
1034027290003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | BH001844 (Pennsylvania) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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