Individual
YATTA PEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
142 W MARYLAND AVE # A, ALDAN, PA 19018-3124
(267) 255-6247
Mailing address
142 W MARYLAND AVE # A, ALDAN, PA 19018-3124
(267) 255-6247
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005568
PA
174400000X
Specialist
BH005568
PA
Other
Enumeration date
04/27/2022
Last updated
04/28/2022
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