Individual
MWALIMU STEVE BOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSC
Contact information
Practice address
6866 RADBOURNE RD, UPPER DARBY, PA 19082-5214
(267) 401-5243
Mailing address
6866 RADBOURNE RD, UPPER DARBY, PA 19082-5214
(267) 401-5243
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002119
PA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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