Individual
KATHRYN MENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 B ST, KING OF PRUSSIA, PA 19406-2731
(973) 598-5445
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-41189
NJ
103K00000X
Behavior Analyst
Primary
1-20-41189
PA
Other
Enumeration date
03/05/2020
Last updated
01/10/2023
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