National Provider Identifier Database

MASTERY CS PICKETT CAMPUS
Local Education Agency (LEA)

The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 ? 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.


Contact Information

MASTERY CS - PICKETT CAMPUS
5700 WAYNE AVE
PHILADELPHIA, PA19144-3314
Phone: 267-236-0036
Fax: 267-236-0030
Website:
Specialty Taxonomy Code
* Local Education Agency (LEA) 251300000X

* Indicates primary specialty

NPI Profile & details for MASTERY CS - PICKETT CAMPUS

NPI Number 1588834857
Legal business name
LBN
MASTERY CS - PICKETT CAMPUS
Authorized official FREDERICK BADER - (ACCESS COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 03/03/2008
Last updated 03/03/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1020420490001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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