Individual
SUSAN DEIKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBS
Contact information
Practice address
8222 WESTMINSTER RD, ELKINS PARK, PA 19027-1409
(215) 586-1865
Mailing address
8222 WESTMINSTER RD, ELKINS PARK, PA 19027-1409
(215) 586-1865
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003162
PA
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
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