Individual
MRS. BONNIE ANN BESSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LBS
Contact information
Practice address
178 LIMERICK RD, HERMINIE, PA 15637-1531
(724) 396-6680
Mailing address
178 LIMERICK RD, HERMINIE, PA 15637-1531
(724) 396-6680
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15637
BEHAVIOR CONSULTANT
PA
05
—
15637
—
PA
Enumeration date
03/13/2022
Last updated
03/13/2022
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