Individual
AGNES CECILIA PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 897-8194
Mailing address
708 JOHNSTON ST, PHILADELPHIA, PA 19148-5057
(267) 897-8194
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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