NPI 1205757580
NPI 1205757580 is a Behavior Analyst in Philadelphia, Pennsylvania. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 5
Practice location Address checks out
406 N 65th StPhiladelphia, PA 19151-4003
Phone: (215) 791-8430
Fax: (888) 493-3438
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X |
| Case Management Agency | Taxonomy 251B00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1205757580 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Khaliah Moody — Founder/Ceo · (215) 791-8430 |
| NPI enumerated | July 23, 2026 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
| Mailing address | 406 N 65th St, Philadelphia, PA 19151-4003 |
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