Individual
CHRISTINE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E CITY AVE, BALA CYNWYD, PA 19004-1708
(856) 827-7630
Mailing address
301 E CITY AVE, BALA CYNWYD, PA 19004-1708
(856) 827-7630
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13539
PA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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