Individual
PRINCESS CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
2501 SEAPORT DR, CHESTER, PA 19013-2249
(856) 346-0005
Mailing address
422 THATCHER AVE, DARBY, PA 19023-2720
(267) 254-0765
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/15/2023
Last updated
07/25/2024
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