Individual
STEPHANIE LANIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(267) 978-4305
Mailing address
4554 MANAYUNK AVE, PHILADELPHIA, PA 19128-4741
(215) 514-5365
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2022
Last updated
05/08/2022
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