Individual
MRS. KAORI GUNJI NEPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
503 S OLD MIDDLETOWN RD, MEDIA, PA 19063-4909
(610) 316-8564
Mailing address
503 S OLD MIDDLETOWN RD, MEDIA, PA 19063-4909
(610) 316-8564
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1052374
PA
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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