Individual
PHILLIP ALAN MANGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LBS
Contact information
Practice address
217 SATURN DR, EFFORT, PA 18330-9749
(272) 207-8113
Mailing address
217 SATURN DR, EFFORT, PA 18330-9749
(272) 207-8113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005679
PA
Other
Enumeration date
12/04/2020
Last updated
10/25/2023
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