Individual
SUSANNA ELANA PEREZ-BARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 S 4TH ST APT 2, OXFORD, PA 19363-1604
(484) 667-7974
Mailing address
31 S 4TH ST APT 2, OXFORD, PA 19363-1604
(484) 667-7974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
30362550
PA
Other
Enumeration date
05/12/2025
Last updated
05/20/2025
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