Individual
TERRA LOVEACE CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBS
Contact information
Practice address
420 COWPATH RD, SOUDERTON, PA 18964-2036
(267) 203-1500
Mailing address
420 COWPATH RD, SOUDERTON, PA 18964-2036
(267) 203-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
568199
PA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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