Individual
MISS TREVA RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
722 WINTON ST, PHILADELPHIA, PA 19148-3256
(484) 410-9315
Mailing address
722 WINTON ST, PHILADELPHIA, PA 19148-3256
(484) 410-9315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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