Individual
ASHLEY MIKYSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1072 PONTIAC RD, DREXEL HILL, PA 19026-4817
(484) 975-0680
Mailing address
1917 S NORWOOD ST, PHILADELPHIA, PA 19145-2730
(267) 257-7639
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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