Individual
MARY DEBEVOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W 9TH AVE STE C, KING OF PRUSSIA, PA 19406-1209
(610) 831-1865
(615) 577-5654
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-18-62224
PA
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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