Individual
MRS. ELIZABETH D BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 STEEPLE CHASE DR, PHOENIXVILLE, PA 19460-1544
(610) 247-5797
Mailing address
100 STEEPLE CHASE DR, PHOENIXVILLE, PA 19460-1544
(610) 247-5797
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA 1-12-11433
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBA 1-12-11433
BCBA, CERTIFICANT 1-12-11433
—
Enumeration date
08/26/2013
Last updated
08/26/2013
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