Individual
JENNIFER SORRENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5035 HAWTHORNE ST, PHILADELPHIA, PA 19124-1340
(267) 235-9122
Mailing address
5035 HAWTHORNE ST, PHILADELPHIA, PA 19124
(267) 235-9122
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
N
PA
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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