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Individual

TREVOR LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, BCBA, LBS

Contact information

Practice address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
(484) 320-8307
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
(484) 320-8307

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55048
PA

Other

Enumeration date
11/09/2021
Last updated
11/09/2021
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