Individual
EBONY BASKERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-174654
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
About Stedi
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