Individual
KRISTEN M CANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
3905 FORD RD, PHILADELPHIA, PA 19131-2824
(215) 878-3400
Mailing address
1100 NEWPORTVILLE RD APT 435, CROYDON, PA 19021-5029
(267) 393-0801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003792
PA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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