Individual
MRS. MILAGROS TEBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA , LBS
Contact information
Practice address
267 QUEEN ST, NORTHUMBERLAND, PA 17857
(570) 847-4645
Mailing address
267 QUEEN ST, NORTHUMBERLAND, PA 17857
(570) 847-4645
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61653
PA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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