Individual
ALENA SUBACUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E HAVERFORD RD STE 100A, BRYN MAWR, PA 19010-3850
(215) 378-0516
Mailing address
5474 QUENTIN ST, PHILADELPHIA, PA 19128-2819
(215) 378-0516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH003738
PA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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