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Individual

VICTORIA W TARPEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LBS

Contact information

Practice address
6742 GUYER AVE, PHILADELPHIA, PA 19142-2611
(267) 353-6725
Mailing address
6742 GUYER AVE, PHILA, PA 19142-2611
(267) 353-6725

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH001355
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1972
DATE OF BIRTH
PA
Enumeration date
10/14/2019
Last updated
10/14/2019
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