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Individual

PHILLIP LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3744 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3224
(610) 864-7376
(877) 599-3340
Mailing address
PO BOX 631280, CINCINNATI, OH 45263-1280
(610) 864-7376
(877) 599-3340

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-216626
PA

Other

Enumeration date
05/18/2022
Last updated
05/18/2022
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