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Individual

MRS. JENNIFER FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
224 NAZARETH PIKE, TROLLEY STATION MALL SUITE 22A, BETHLEHEM, PA 18020-9080
(610) 365-8373
(610) 365-2522
Mailing address
224 NAZARETH PIKE, TROLLEY STATION MALL SUITE 22A, BETHLEHEM, PA 18020-9080
(610) 365-8373
(610) 365-2522

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002796
PA

Other

Enumeration date
06/18/2015
Last updated
06/18/2015
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