Individual
CELINA CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BC, LBS
Contact information
Practice address
7020 N BROAD ST APT C9, PHILADELPHIA, PA 19126-1719
(267) 428-1202
Mailing address
7020 N BROAD ST APT C9, PHILADELPHIA, PA 19126-1719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982239984
CHIP
PA
01
—
BH004705
BEHAVIOR SPECIALIST
PA
Enumeration date
03/10/2020
Last updated
10/12/2023
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