Individual
MEGAN CONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 ROYAL AVE, WYNCOTE, PA 19095-1111
(215) 885-1075
Mailing address
125 ROYAL AVE, WYNCOTE, PA 19095-1111
(215) 885-1075
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73625
—
Other
Enumeration date
08/05/2024
Last updated
11/03/2024
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