Individual
MS. MIYOSHI FAGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
139 LEOPARD RD, BERWYN, PA 19312-1809
(610) 688-1636
Mailing address
139 LEOPARD RD, BERWYN, PA 19312-1809
(610) 688-1636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/24/2010
Last updated
09/22/2025
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