Individual
ELLEN THERESE DENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
225 SPRING ST, MOOSIC, PA 18507-1139
(570) 457-7268
Mailing address
225 SPRING ST, MOOSIC, PA 18507-1139
(570) 457-7268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5865
PA
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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