Individual
SELENA NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
209 W LANCASTER AVE STE 100, PAOLI, PA 19301-1749
(484) 965-9966
(484) 231-8631
Mailing address
200 N WARNER RD STE 210, KING OF PRUSSIA, PA 19406-2842
(484) 965-9966
(484) 231-8631
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-155694
PA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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