Individual
MARLENE JEANETTE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
700 ABBOTT DR STE 2, BROOMALL, PA 19008-4323
(484) 255-3822
Mailing address
700 ABBOTT DR STE 2, BROOMALL, PA 19008-4323
(484) 255-3822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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