Individual
REBECCA ROSE PELEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 N MALIN RD, BROOMALL, PA 19008-1928
(484) 423-7000
Mailing address
1511 JAMES RD, WYNNEWOOD, PA 19096-2514
(516) 776-7191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003602
PA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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