Healthcare Provider Details

I. General information

NPI: 1184167652
Provider Name (Legal Business Name): HANLON THERAPY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E 8TH ST
ASPINWALL PA
15215-2923
US

IV. Provider business mailing address

205 E 8TH ST
ASPINWALL PA
15215-2923
US

V. Phone/Fax

Practice location:
  • Phone: 412-980-8647
  • Fax:
Mailing address:
  • Phone: 412-980-8647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH003165
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HANLON
Title or Position: OWNER
Credential: MS, BSL
Phone: 412-980-8647