Individual
JACQUELINE CANDUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 GRANT AVE, PHILADELPHIA, PA 19114-1032
(215) 695-4270
Mailing address
5200 HILLTOP DR APT CC18, BROOKHAVEN, PA 19015-1261
(856) 630-4224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42077
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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