NPI 1104426055
Flourish Aba Therapy
Practice location
- Address
- 13109 Bustleton Ave Suite A29, Philadelphia, PA 19116
- Phone
- (484) 838-6173
- Mailing address
- PO Box 52138, Philadelphia, PA 19115-7138
Authorised official
- Name
- Hank Tund
- Title
- Partner
- Phone
- (484) 838-6173
Registered specialties (6)
Early Intervention Provider Agency
Primary
Behavior Analyst
Behavior Technician
Mental Health Occupational Therapist
Speech-Language Pathologist
Community/Behavioral Health Agency
Registry record
- NPI
- 1104426055
- Entity type
- Organization
- NPI issued
- 29 Oct 2020
- Record last updated
- 15 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.