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1669981908
KAITLIN LICCIARDONE
KING OF PRUSSIA, PA
NPI
1669981908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: PA 1-17-26267)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
KAITLIN LICCIARDONE MS, BCBA
1019 W 9TH AVE
KING OF PRUSSIA, PA 19406-1215
Phone number: 610-992-9900
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Mailing Address
KAITLIN LICCIARDONE MS, BCBA
6100 CITY AVE APT P212
PHILADELPHIA, PA 19131-1239
Phone number: 732-429-4674
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