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NPI Code Detail

MEDICARE: TERESA ASHBRIDGE-BALAWEJDER BCBA, LBS

MEDICARE:   TERESA  ASHBRIDGE-BALAWEJDER  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 Analyst

General Provider Information

NPI Number : 1740413301
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA ASHBRIDGE-BALAWEJDER BCBA, LBS
Provider Business Mailing Address
First Line : 1014 4TH AVE
Second Line :
City : LESTER
State : PA
Zip : 19029-1812
Country : US
Telephone Number : 215-327-4174
Fax Number :
Provider Business Practice Location Address
First Line : 1014 4TH AVE
Second Line :
City : LESTER
State : PA
Zip : 19029-1812
Country : US
Telephone Number : 215-327-4174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2009
Last Update Date : 07/08/2022

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Directions to “ TERESA ASHBRIDGE-BALAWEJDER BCBA, LBS” Practice Location

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