Individual
RETANIA DRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1121B CARPENTER ST, PHILADELPHIA, PA 19147-3705
(267) 977-9675
Mailing address
1121B CARPENTER ST, PHILADELPHIA, PA 19147-3705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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