Individual
JUSTIN DUBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(516) 864-9747
Mailing address
510 N BROAD ST APT 527, PHILADELPHIA, PA 19130-4342
(516) 864-9747
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
01/09/2025
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