Individual
REBECCA O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 N HENDERSON RD STE 200, KING OF PRUSSIA, PA 19406-4422
(856) 346-0005
Mailing address
170 N HENDERSON RD STE 200, KING OF PRUSSIA, PA 19406-4422
(856) 346-0005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005833
PA
106S00000X
Behavior Technician
RBT-19-85487
PA
Other
Enumeration date
06/05/2019
Last updated
05/17/2022
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