Individual
KRISTA LAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(215) 322-8867
Mailing address
4 NESHAMINY INTERPLEX, SUITE 105, TREVOSE, PA 19053-6944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11560
PA
Other
Enumeration date
12/08/2014
Last updated
07/27/2021
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