Individual
TAKIA DENMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(267) 974-1470
Mailing address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(267) 974-1470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002298
PA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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