Individual
MS. CHAVONNE HURDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 WALNUT ST, LANSDALE, PA 19446-1140
(267) 263-2246
Mailing address
247 HENDRICKSON AVE, EDGEWATER PARK, NJ 08010-2018
(609) 372-3038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH004910
PA
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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