Individual
HEATHER PRIMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-ABA, BCBA, LBS
Contact information
Practice address
2626 TRENTON AVE, PHILADELPHIA, PA 19125-1814
(215) 939-7903
Mailing address
2626 TRENTON AVE, PHILADELPHIA, PA 19125-1814
(215) 939-7903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80056
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0891886
—
NJ
Enumeration date
12/21/2017
Last updated
06/09/2025
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