Individual
TIQUANA BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 HILLVIEW DR, SPRINGFIELD, PA 19064-1950
(610) 938-6600
Mailing address
7841 RIDGE AVE APT B-160, PHILADELPHIA, PA 19128-3040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000044145198
—
NC
Enumeration date
03/08/2023
Last updated
03/08/2023
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