Individual
MRS. NICHOLE ALEXANDRA PHIAMBOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, BSL
Contact information
Practice address
3614 ORCHARD CT, READING, PA 19606-2842
(215) 840-4708
Mailing address
3614 ORCHARD CT, READING, PA 19606-2842
(215) 840-4708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000253
PA
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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