Individual
LAUREN KILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M,ED, LBS
Contact information
Practice address
7626 BURHOLME AVE, PHILADELPHIA, PA 19111-2411
(215) 514-4082
Mailing address
7626 BURHOLME AVE, PHILADELPHIA, PA 19111-2411
(215) 514-4082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003855
PA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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