Luke Stivala

NPI #1154930337 in Wayne, Pennsylvania

Provider Information

NPI Number: 1154930337
Entity Type: Individual
Name: Luke Stivala
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2020
Last Updated: Jul 23, 2020

Practice Location

Address: 201 KING OF PRUSSIA RD
City: Wayne
State: Pennsylvania
ZIP Code: 19087-5147
Phone: (855) 581-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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