Individual
EMMA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
654 N EASTON RD, GLENSIDE, PA 19038-4310
(267) 495-8589
Mailing address
442 LEVERINGTON AVE, PHILADELPHIA, PA 19128-3314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005406
PA
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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