Individual
DOMINIC BILLETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 N HENDERSON RD STE 200, KING OF PRUSSIA, PA 19406-4422
(856) 346-0005
Mailing address
453 VOLPE RD, PLYMOUTH MEETING, PA 19462-2641
(610) 772-4066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007258
PA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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