Individual
KYRA MARIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. LBS
Contact information
Practice address
930 BOWMAN AVE, WYNNEWOOD, PA 19096-1600
(610) 667-3958
Mailing address
45 E CITY AVE # 2132, BALA CYNWYD, PA 19004-2421
(609) 331-9043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008628
PA
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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