Individual
MRS. COLLEEN ANNE DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
HC 87 BOX 110A, POCONO LAKE, PA 18347-9731
(570) 595-8575
(570) 646-0776
Mailing address
HC 87 BOX 110A, POCONO LAKE, PA 18347-9731
(570) 595-8575
(570) 646-0776
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5066
PA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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