Individual
TINA RENEE ALVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LBS
Contact information
Practice address
SUITE 307 GEORGIAN PLACE, SOMERSET, PA 15501
(814) 444-0620
Mailing address
SUITE 307 GEORGIAN PLACE, SOMERSET, PA 15501
(814) 444-0620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH2414
PA
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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