O'SHANE J BACK

PHILADELPHIA, PA
NPI1669956116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2018-09-20
Last Update Date2018-09-20
Business Address
O'SHANE J BACK
7020 GREENE ST
PHILADELPHIA, PA 19119-3437
Phone number: 215-888-3158
Mailing Address
O'SHANE J BACK
7020 GREENE ST
PHILADELPHIA, PA 19119-3437
Phone number: 215-888-3158
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