Individual
EMILY MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E SYLVAN AVE, RUTLEDGE, PA 19070-2146
(484) 326-9754
Mailing address
209 E SYLVAN AVE, RUTLEDGE, PA 19070-2146
(484) 326-9754
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004265
PA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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