Individual
MAUREEN THERESA FIOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
1931 E MOYAMENSING AVE, PHILADELPHIA, PA 19148-2526
(215) 667-4039
Mailing address
1931 E MOYAMENSING AVE, PHILADELPHIA, PA 19148-2526
(215) 667-4039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004261
PA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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