Provider Demographics
NPI:1114456852
Name:SCHOOL OF PLAY, LLC
Entity Type:Organization
Organization Name:SCHOOL OF PLAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BSL, BCBA
Authorized Official - Phone:724-462-0385
Mailing Address - Street 1:26 ESSEX DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3504
Mailing Address - Country:US
Mailing Address - Phone:724-462-0385
Mailing Address - Fax:412-246-3873
Practice Address - Street 1:26 ESSEX DR
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-3504
Practice Address - Country:US
Practice Address - Phone:724-462-0385
Practice Address - Fax:412-246-3873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty