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NPI Code Detail

MEDICARE: MRS. PERLA EDITH GOLDSTEIN BCBA/LBS

MEDICARE: MRS. PERLA EDITH GOLDSTEIN BCBA/LBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst001602NY
2103K00000XBehavior AnalystBH003414PA

General Provider Information

NPI Number : 1649783408
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PERLA EDITH GOLDSTEIN BCBA/LBS
Provider Business Mailing Address
First Line : 722 CLAY AVE
Second Line :
City : SCRANTON
State : PA
Zip : 18510-1728
Country : US
Telephone Number : 914-837-2813
Fax Number :
Provider Business Practice Location Address
First Line : 2000 ASH ST
Second Line :
City : SCRANTON
State : PA
Zip : 18510-1546
Country : US
Telephone Number : 570-871-4751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2017
Last Update Date : 05/16/2023

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