Individual
AMBER LYNNE GONCHARSKY-HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
10541 DRUMMOND RD, PHILA, PA 19154-3807
(215) 432-9921
Mailing address
10541 DRUMMOND RD, PHILA, PA 19154-3807
(215) 432-9921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11623664
PA
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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