Individual
MRS. PENNY L TORCIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4520 GRAYSTONE DR, NAZARETH, PA 18064-9685
(610) 759-5064
Mailing address
4520 GRAYSTONE DR, NAZARETH, PA 18064-9685
(610) 759-5064
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8268
NJ
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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