Individual
CARA MCCUSKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 612-7625
Mailing address
3557 BROOKVIEW RD, PHILADELPHIA, PA 19154-4035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003432
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000013500321
—
PA
Enumeration date
08/28/2017
Last updated
08/28/2017
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