Individual
KEVIN JAMES PRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBS
Contact information
Practice address
2801 GRANT AVE, PHILADELPHIA, PA 19114-1032
(215) 878-3400
(267) 531-0005
Mailing address
1163 S DARIEN ST, PHILADELPHIA, PA 19147-5136
(916) 206-1391
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006568
PA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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