Individual
BRIANNA COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
12433 BALSTON RD, PHILADELPHIA, PA 19154-1907
(215) 429-5485
Mailing address
12433 BALSTON RD, PHILADELPHIA, PA 19154-1907
(215) 429-5485
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003118
PA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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