Individual
DR. JANA BARBARA MALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
53 DEWEY RD, CHELTENHAM, PA 19012-1413
(215) 635-1110
(215) 635-5224
Mailing address
53 DEWEY RD, CHELTENHAM, PA 19012-1413
(215) 635-1110
(215) 635-5224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000549
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH000549
COMMONWEALTH OF PA, DEPT OF STATE, BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS
PA
Enumeration date
06/19/2014
Last updated
06/19/2014
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