Individual
MRS. CORRINE GIRONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. LBS., BCBA
Contact information
Practice address
5 SENTRY PKWY E STE 200, BLUE BELL, PA 19422-2307
(267) 465-7615
Mailing address
142 FAWN DR, GILBERTSVILLE, PA 19525-8102
(570) 205-0407
(570) 205-0407
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB228209
CO
Other
Enumeration date
10/19/2017
Last updated
03/17/2018
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