Provider Demographics
NPI:1740413301
Name:ASHBRIDGE-BALAWEJDER, TERESA (BCBA, LBS)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:ASHBRIDGE-BALAWEJDER
Suffix:
Gender:F
Credentials:BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:LESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19029-1812
Mailing Address - Country:US
Mailing Address - Phone:215-327-4174
Mailing Address - Fax:
Practice Address - Street 1:1014 4TH AVE
Practice Address - Street 2:
Practice Address - City:LESTER
Practice Address - State:PA
Practice Address - Zip Code:19029-1812
Practice Address - Country:US
Practice Address - Phone:215-327-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst