Individual
TAYSIA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
1219 W FIRTH ST, PHILADELPHIA, PA 19133-1132
(267) 304-2672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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