Individual
CARLY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4900 PERRY HWY BLDG 2, PITTSBURGH, PA 15229-2220
(412) 295-6734
(412) 837-1290
Mailing address
104 COSTA LN, PITTSBURGH, PA 15237-1106
(412) 478-5451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-174304
PA
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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