Individual
MRS. THERESA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
6660 SHERMANS VALLEY RD, LOYSVILLE, PA 17047-9168
(717) 536-0056
Mailing address
6660 SHERMANS VALLEY RD, LOYSVILLE, PA 17047-9168
(717) 536-0056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001886
PA
Other
Enumeration date
08/15/2014
Last updated
11/14/2014
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