Individual
JESSICA TRUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
987 OLD EAGLE SCHOOL RD STE 704, WAYNE, PA 19087-1708
(877) 633-8287
Mailing address
113 ROCHELLE AVE FL 2, PHILADELPHIA, PA 19128-3897
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004798
PA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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