Individual
ERIN MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 613-1000
Mailing address
8134 REVERE ST, PHILADELPHIA, PA 19152-3003
(215) 964-8174
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005278
PA
106S00000X
Behavior Technician
BH005278
PA
Other
Enumeration date
05/25/2021
Last updated
06/17/2021
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