Individual
FATIMA MANIJEH ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED/ LBSC
Contact information
Practice address
26 EAGLE LN, READING, PA 19607-3303
(484) 769-9377
Mailing address
26 EAGLE LN, READING, PA 19607-3303
(484) 769-9377
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001052
PA
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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