Individual
NICOLE DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
381 VALLEY VIEW ROAD, SPRINGFIELD, PA 19064
(484) 680-5829
Mailing address
381 VALLEY VIEW ROAD, SPRINGFIELD, PA 19064
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17882
—
103K00000X
Behavior Analyst
BH007393
PA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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