Individual
BEVERLY FORD-GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5521 PEMBERTON ST, PHILADELPHIA, PA 19143-2525
(215) 365-4092
Mailing address
5521 PEMBERTON ST, PHILADELPHIA, PA 19143-2525
(215) 365-4092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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