Individual
MS. BRENDA WILLITSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,BCBA
Contact information
Practice address
1659 EDISON DR, MAPLE GLEN, PA 19002-3019
(215) 740-0537
Mailing address
1659 EDISON DR, MAPLE GLEN, PA 19002-3019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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