Individual
CANDACE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1621 N 62ND ST, PHILADELPHIA, PA 19151-3925
(215) 878-5536
Mailing address
1621 N 62ND ST, PHILADELPHIA, PA 19151-3925
(215) 878-5536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002326
PA
Other
Enumeration date
10/16/2014
Last updated
10/16/2014
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