AUTISM BEHAVIORAL SERVICES, INC (NPI# 1710297163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710297163 |
| Entity Type | Organization |
| Organization Name | AUTISM BEHAVIORAL SERVICES, INC |
| Practice Address |
1122 Wyoming Ave Exeter PA 18643-1918 |
| Practice Telephone | 5706551667 |
| Practice Fax Number | 5706024100 |
| Mailing Telephone | 5706551667 |
| Mailing Fax Number | 5706024100 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Authorized Official Name | MRS. MARY J VESLOSKI (PRESIDENT) |
| Authorized Official Telephone | 5706551667 |
| Authorized Official Credential | MS, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS004215L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033669171 | Autism Behavioral Services, Inc | Community/Behavioral Health | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2016-10-13 |
| 1922558154 | Autism Behavioral Services, Inc | Community/Behavioral Health | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2016-10-12 |
| Street Address |
1122 WYOMING AVE |
| City | EXETER |
| State | PA |
| Zip Code | 18643-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831697382 | Jennifer Dominick | Behavioral Analyst | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2018-01-30 |
| 1285140608 | Abs Group Inc. | Behavioral Analyst | 1122 Wyoming Ave, Exeter, PA 18643 | 2017-12-21 |
| 1033669171 | Autism Behavioral Services, Inc | Community/Behavioral Health | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2016-10-13 |
| 1053861294 | Autism Behavioral Services, Inc. | Behavioral Analyst | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2016-10-12 |
| 1922558154 | Autism Behavioral Services, Inc | Community/Behavioral Health | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2016-10-12 |
| 1598211351 | Dana Hall | Behavioral Analyst | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2016-08-31 |
| 1356897136 | Laura Shovlin | Behavioral Analyst | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2016-08-31 |
| 1568737229 | Mary J Vesloski | Behavioral Analyst | 1122 Wyoming Ave, Exeter, PA 18643-1918 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861904195 | Willis Curtis Barnes Jr. | Anesthesiology | 311 Race St., West Pittston, PA 18643 | 2017-10-26 |
| 1114173887 | Ronald J Siejak | Physical Therapist | 1 Black Street, Ashley, PA 18643 | 2008-08-14 |
| 1528284098 | Linda Roseann Benson | Counselor | 341 Wyoming Ave, Suite #3, West Pittston, PA 18643 | 2007-04-17 |
| 1114042355 | John E Mcgurk | Physical Therapist | Rr4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-03-20 |
| 1306923768 | Ernani M Pagliarini | Dentist | 1291 Wyoming Ave, Exeter, PA 18643 | 2006-11-01 |
| 1780782425 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 960 Wyoming Ave, Exeter, PA 18643 | 2006-09-20 |
| 1588169601 | Jennifer Lynn Zimmerman Dnp Crnp LLC | Nurse Practitioner | 308 Terrace Ave, Harding, PA 18643 | 2018-03-29 |
| 1457571002 | Jennifer L Montross | Occupational Therapist | Rr 4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-04-26 |
| 1568587798 | Janine H Dymond | Occupational Therapist | Rr4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-03-20 |
| 1275966954 | Michael William Corbett | Behavioral Analyst | 114 Aster Ct, Exeter, PA 18643-1145 | 2013-08-16 |
| Find all providers in zip 18643 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615810 | Ganim Psychology and Behavioral Health, Pllc | Psychologist | 80 West Welsh Pool Road, Suite 204 South, Exton, PA 19341-1233 | 2019-12-06 |
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1548815814 | Estee Hausman | Psychologist | 337 Moore Bldg, State College, PA 16802-3103 | 2019-08-05 |
| 1326512005 | Lydia Brill | Psychologist | 480 Pierce St Ste 109, Kingston, PA 18704-5512 | 2019-01-16 |
| 1689151318 | Stacey Linn Brookens | Psychologist | 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812 | 2018-07-25 |
| 1144710039 | Pamela Marie Cole | Psychologist | 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 | 2018-05-16 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.