Individual
CINTHIA CLAYCOMB-DIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 10TH AVE, ALTOONA, PA 16601-4736
(814) 946-9142
(814) 946-9143
Mailing address
701 10TH AVE, ALTOONA, PA 16601-4736
(814) 946-9142
(814) 946-9143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
17636449
PA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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