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Individual

REVA MAY ROMINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2275 BRIDGE ST BLDG 5B132, PHILADELPHIA, PA 19137-1300
(215) 772-0101
(215) 772-0303
Mailing address
2032 HARBOUR DR, PALMYRA, NJ 08065-1118
(856) 242-0054

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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