Individual
MARY ELLEN KUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RBT
Contact information
Practice address
221 BELMONT AVE, ORELAND, PA 19075-1209
(610) 745-7312
Mailing address
221 BELMONT AVE, ORELAND, PA 19075-1209
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-15738
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-16-15738
REGISTERED BEHAVIOR TECHNICIAN
PA
Enumeration date
07/18/2017
Last updated
07/18/2017
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