Individual
KARA PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 MAUCH CHUNK ST APT 2, NAZARETH, PA 18064-2065
(646) 265-2323
Mailing address
27 MAUCH CHUNK ST APT 2, NAZARETH, PA 18064-2065
(646) 265-2323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52958
PA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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