Individual
ELIZABETH SIMONETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
3890 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9652
(210) 607-0427
Mailing address
3890 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9652
(210) 607-0427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002934
PA
Other
Enumeration date
08/05/2017
Last updated
07/21/2022
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