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NPI Code Detail

MEDICARE: ELINOR STANLEY

MEDICARE: ELINOR STANLEY
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
1106S00000XBehavior TechnicianBCBA676845PA

General Provider Information

NPI Number : 1912682592
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELINOR STANLEY
Provider Business Mailing Address
First Line : 1989 N 63RD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19151-2693
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1989 N 63RD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19151-2693
Country : US
Telephone Number : 484-326-0251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 06/20/2023

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Directions to “ ELINOR STANLEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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