Individual
ANGEL-GRACE BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BENT CREEK BLVD, MECHANICSBURG, PA 17050-1938
(888) 726-4774
Mailing address
115 NORTH ST APT 201, HARRISBURG, PA 17101-1004
(210) 535-5948
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
PA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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