Individual
MS. LUCIANA GENEVIEVE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
4 NESHAMINY INTERPLEX DR, SUITE 202, TREVOSE, PA 19053-6944
(215) 322-8860
(215) 332-8867
Mailing address
3 ENGLEWOOD RD, UPPER DARBY, PA 19082-1517
(267) 319-6162
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BH003123
PA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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