Provider Demographics
NPI:1851046155
Name:POTENTIAL INC.
Entity Type:Organization
Organization Name:POTENTIAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINBY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LBS, BCBA
Authorized Official - Phone:215-579-0670
Mailing Address - Street 1:170 PHEASANT RUN STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1877
Mailing Address - Country:US
Mailing Address - Phone:215-579-0670
Mailing Address - Fax:
Practice Address - Street 1:626 JACKSONVILLE RD STE 156
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4872
Practice Address - Country:US
Practice Address - Phone:215-579-0670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty