Individual
BRIANNA SUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 WELSH RD, PHILADELPHIA, PA 19115-4659
(866) 872-7601
Mailing address
266 MOUNTAIN VIEW DR, NANTICOKE, PA 18634-3604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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