Individual
AUDRA R LUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED., BCBA
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(267) 807-0550
Mailing address
522 BUCKEYE LN, WEST CHESTER, PA 19382-6125
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69396
PA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/31/2022
Last updated
11/16/2023
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