Individual
EMMANUEL TAMBA BOCKARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
434 S 2ND ST, DARBY, PA 19023-3104
(267) 403-7069
Mailing address
434 S 2ND ST, DARBY, PA 19023-3104
(267) 403-7069
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH006623
PA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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