Individual
JACKLYN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 CHELSEA ROAD, FAIRLESS HILLS, PA 19030
(267) 475-1521
Mailing address
405 CHELSEA ROAD, FAIRLESS HILLS, PA 19030
(267) 475-1521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003087
PA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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