Individual
GRACE MANERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7002 W BUTLER PIKE, AMBLER, PA 19002-5107
(215) 285-3688
Mailing address
742 N HILLS AVE, GLENSIDE, PA 19038-1323
(267) 255-1802
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007303
PA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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