Individual
ELIZABETH DEVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 SPRING GARDEN ST SIDE 2, PHILADELPHIA, PA 19130-4138
(484) 444-2285
Mailing address
9351 W BROAD ST, HENRICO, VA 23294-5437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/13/2020
Last updated
08/16/2021
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