Individual
KAREN ANN ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 INDUSTRIAL PARK RD, EBENSBURG, PA 15931-4116
(814) 472-6150
Mailing address
358 INDUSTRIAL PARK RD, EBENSBURG, PA 15931-4116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001350
PA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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