Individual
LANIYAH JEAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 N FRONT ST, PHILADELPHIA, PA 19122-4743
(267) 807-0550
Mailing address
4513 HOOPES ST, PHILADELPHIA, PA 19139-1928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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