Individual
EMMA VILA-GILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 N DELAWARE AVE, PHILADELPHIA, PA 19125-4330
(215) 496-0707
Mailing address
212 IVY RD, EDGEWATER PARK, NJ 08010-2619
(267) 455-1227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003002
PA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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