Individual
ILISA MICHELE LUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED.
Contact information
Practice address
800 CLARMONT AVE, BENSALEM, PA 19020-5705
(267) 525-7000
Mailing address
1325 MEETINGHOUSE RD, MEADOWBROOK, PA 19046-2522
(215) 285-6731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH001416
PA
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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