Individual
EDWARD SANNOH FORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 S 69TH ST, UPPER DARBY, PA 19082-4212
(610) 352-8943
Mailing address
2654 S 62ND ST, PHILADELPHIA, PA 19142-3030
(267) 665-8272
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001051
PA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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