Individual
AUTUMN EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
296 W RIDGE PIKE # LL101, ROYERSFORD, PA 19468-1790
(484) 706-9465
(610) 514-9332
Mailing address
580 SHELBOURNE RD, READING, PA 19606-9607
(484) 706-9465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BH005262
PA
103K00000X
Behavior Analyst
Primary
BH005262
PA
Other
Enumeration date
12/22/2021
Last updated
02/02/2024
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