Individual
IYANA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1167 W BALTIMORE PIKE # 258, MEDIA, PA 19063-5127
(484) 577-9928
Mailing address
225 W PENNSYLVANIA AVE APT B, DOWNINGTOWN, PA 19335-2521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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