Individual
AMBER FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
961 MARCON BLVD STE 312, ALLENTOWN, PA 18109-9373
(610) 266-0610
Mailing address
123 E ETTWEIN ST, BETHLEHEM, PA 18018-2808
(484) 634-1278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006068
PA
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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