Individual
PHYLLIS AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
2909 ROUTE 100, OREFIELD, PA 18069-2951
(570) 460-0050
(610) 398-9880
Mailing address
121 ADAMIC HILL RD, MILFORD, NJ 08848-1735
(610) 462-4906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003120
PA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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