Individual
DOMINQUE JILL PESANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA
Contact information
Practice address
3744 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3224
(610) 864-7376
Mailing address
3744 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18977
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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