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Individual

KRISTEN SHOTWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1241 N FRONT ST, PHILADELPHIA, PA 19122-4743
(844) 459-7529
Mailing address
5235 RIDGE AVE REAR STE 2, PHILADELPHIA, PA 19128-3782

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008393
PA

Other

Enumeration date
04/13/2026
Last updated
04/13/2026
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