Individual
TISA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., MHS, LBSC
Contact information
Practice address
150 MONUMENT RD, SUITE 207, BALA CYNWYD, PA 19004-1702
(215) 776-5869
Mailing address
150 MONUMENT RD, SUITE 207, BALA CYNWYD, PA 19004-1702
(215) 776-5869
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001282
PA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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