Individual
ELYCE MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 S 11TH ST, PHILADELPHIA, PA 19148-1135
(267) 443-8788
Mailing address
1623 S 11TH ST, PHILADELPHIA, PA 19148-1135
(267) 443-8788
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000532
PA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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