Individual
MARINELLY TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 ELM ST, READING, PA 19601-3386
(610) 396-9900
(610) 396-9901
Mailing address
114 DIANE LN, READING, PA 19606
(610) 396-9900
(610) 396-9901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
SW131997
PA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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