Individual
IJANAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 STONEWAY LN, BALA CYNWYD, PA 19004-3125
(267) 808-2085
Mailing address
166 STONEWAY LN, BALA CYNWYD, PA 19004-3125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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