Individual
JOEL POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 TACKAWANNA ST APT 2, PHILADELPHIA, PA 19135-2503
(215) 681-5635
Mailing address
6601 TACKAWANNA ST APT 2, PHILADELPHIA, PA 19135-2503
(215) 681-5635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001356
PA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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