Individual
COLLEEN O'MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
583 SHOEMAKER RD, SUITE 230, KING OF PRUSSIA, PA 19406-4201
(484) 324-8307
(484) 320-8307
Mailing address
583 SHOEMAKER RD, SUITE 230, KING OF PRUSSIA, PA 19406-4201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10215
PA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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