Individual
MARK FREEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
1245 S CEDAR CREST BLVD STE 303, ALLENTOWN, PA 18103-6258
(610) 435-4151
Mailing address
1023 4TH ST APT 7, CATASAUQUA, PA 18032-2743
(570) 249-1783
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005064
PA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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