Individual
MRS. GABRIELA ANAHI MONGELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
601 S HENDERSON RD, KING OF PRUSSIA, PA 19406-3596
(610) 905-1965
Mailing address
2435 DUTTON MILL RD, ASTON, PA 19014-2822
(610) 905-1965
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006281
PA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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