Individual
MICHELE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 BAXTER DR, PHOENIXVILLE, PA 19460-6119
(610) 299-3895
Mailing address
220 BAXTER DR, PHOENIXVILLE, PA 19460-6119
(610) 299-3895
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-157000
PA
103K00000X
Behavior Analyst
BH000555
PA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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