Individual
MARISSA LYNN KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
231 E 5TH ST, LANSDALE, PA 19446-2611
(215) 264-2347
Mailing address
231 E 5TH ST, LANSDALE, PA 19446-2611
(215) 264-2347
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8553
PA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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