Individual
IRESHA PICOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 MARKET ST, PHILADELPHIA, PA 19139-4636
(215) 878-3400
Mailing address
4601 MARKET ST, PHILADELPHIA, PA 19139-4636
(215) 878-3400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001283
PA
Other
Enumeration date
02/16/2016
Last updated
08/05/2026
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