Individual
TAVARIS PURDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 CRISTINA PL, PHILADELPHIA, PA 19139
(610) 545-9067
Mailing address
607 CRISTINA PL, PHILADELPHIA, PA 19139
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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