Individual
GEORGETTE PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 ASH ST, SCRANTON, PA 18510-1546
(570) 241-3703
Mailing address
2000 ASH ST, SCRANTON, PA 18510-1546
(570) 241-3703
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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