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Individual

MRS. CAROLINA MONICA LEMSEYAN MALUF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
26 GRANITE DR, EAST EARL, PA 17519-9486
(717) 419-8914
Mailing address
26 GRANITE DR, EAST EARL, PA 17519-9486
(717) 419-8914

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-53084
103K00000X
Behavior Analyst
5151
TX
103K00000X
Behavior Analyst
Primary
BH004441
PA

Other

Enumeration date
08/29/2019
Last updated
07/08/2022
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