Individual
TAYLOR MARIE BOONIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
120 BYRON AVE, ALTOONA, PA 16602-4106
(814) 201-2773
Mailing address
52 ANDERSON AVE, NANTY GLO, PA 15943-1078
(814) 386-9707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007338
PA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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