Individual
MRS. HARONIS TAVAREZ DE OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3757 CLAY DR, MACUNGIE, PA 18062-9233
(718) 207-9780
Mailing address
3757 CLAY DR, MACUNGIE, PA 18062-9233
(718) 207-9780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
PA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
10/11/2024
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