NPI 1295614824

Gerald Antoine Colley, PCHA

Practitioner Physical Disabilities Residential Treatment Facility Philadelphia, PA

Practice location

Address: 800 Cottman Avenue 257 / B1, Philadelphia, PA 19111
Phone: (215) 954-0621

Registered specialties (8)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Home Delivered Meals

Suppliers Taxonomy 332U00000X

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Registry record

NPI: 1295614824
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2025
Record last updated: 28 Aug 2025

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.