Individual
SOPHIA ELIZABETH ANNICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
138 CATAWISSA AVE, WILLIAMSPORT, PA 17701
(570) 435-8180
Mailing address
138 CATAWISSA AVE, WILLIAMSPORT, PA 17701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1131070
PA
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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