Provider Demographics
NPI:1437606423
Name:SWANK EARLY SKILLS DEVELOPMENT, LLC
Entity Type:Organization
Organization Name:SWANK EARLY SKILLS DEVELOPMENT, LLC
Other - Org Name:SWANK EARLY SKILLS DEVELOPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SWANK
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBS
Authorized Official - Phone:717-421-2476
Mailing Address - Street 1:270 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1262
Mailing Address - Country:US
Mailing Address - Phone:717-421-2476
Mailing Address - Fax:717-459-3117
Practice Address - Street 1:270 BROAD ST
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:PA
Practice Address - Zip Code:17538-1262
Practice Address - Country:US
Practice Address - Phone:717-421-2476
Practice Address - Fax:717-459-3117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000961103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty