Individual
JENNIFER MUCELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBS
Contact information
Practice address
600 REED RD STE 101, BROOMALL, PA 19008-3505
(484) 326-0251
Mailing address
11 NANCY DR, HAVERTOWN, PA 19083-3101
(610) 730-8677
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007489
PA
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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