Individual
MISS CASSANDRA LYNN BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 S 4TH ST, PHILADELPHIA, PA 19148-2550
(312) 965-2997
Mailing address
5211 SENTINEL RDG, NORRISTOWN, PA 19403-5275
(215) 756-7218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2019
Last updated
06/05/2020
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