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Individual

MISS CHRISTINA ANN COLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBS, BCBA

Contact information

Practice address
1905 ROBERTS RD, APARTMENT B, ERIE, PA 16510-2347
(814) 566-0456
Mailing address
1905 ROBERTS RD, APARTMENT B, ERIE, PA 16510-2347
(814) 566-0456

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000084
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH000084
PENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
04/18/2013
Last updated
04/18/2013
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