Individual
JENNIFER QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
606 E BALTIMORE PIKE, MEDIA, PA 19063-1751
(610) 864-7376
Mailing address
4404 ELAND DOWNE, PHOENIXVILLE, PA 19460-1321
(610) 310-3777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60068824907746402031
—
PA
Enumeration date
04/09/2018
Last updated
04/09/2018
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