Individual
LAUREN ELISE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(267) 257-5829
Mailing address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(267) 257-5829
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32450
PA
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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