Individual
LEE ELLEN BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
1011 REED AVE, #900, WYOMISSING, PA 19610-2002
(610) 939-9999
Mailing address
1011 REED AVE, #900, WYOMISSING, PA 19610-2002
(610) 939-9999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002904
PA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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