Individual
MS. GAYNELLE CLARETTE BLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
132 FLEMING ST, BLANDON, PA 19510-9598
(215) 370-9229
Mailing address
132 FLEMING ST, BLANDON, PA 19510-9598
(215) 370-9229
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002690
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH002690
DEPARTMENT OF STATE
PA
Enumeration date
03/10/2015
Last updated
03/10/2015
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