Individual
QUINCY CECILIA WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
450 SENTRY PKWY E STE 200, BLUE BELL, PA 19422-2319
(267) 802-1701
Mailing address
450 SENTRY PKWY E STE 200, BLUE BELL, PA 19422-2319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BACB556517
—
103K00000X
Behavior Analyst
Primary
BH005851
PA
225A00000X
Music Therapist
15313
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103800593-0001
—
PA
Enumeration date
10/20/2019
Last updated
03/28/2026
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