Individual
JILL VAN GUILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BSL, CTRS
Contact information
Practice address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 558-8164
Mailing address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001125
PA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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