Kaitlin Licciardone, MS, BCBA
Behavior Analyst in King Of Prussia, PA. Individual provider (NPI-1).
NPI number1669981908
StatusActive
Last updated in NPPESSep 28, 2017
Details
- NPI
- 1669981908
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Licciardone
- Credential
- MS, BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2017
- Last updated
- Sep 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-26267 | PA | Yes |
Practice location
1019 W 9th AveKing Of Prussia, PA 19406-1215
Phone 610-992-9900
Mailing address
6100 City Ave Apt P212Philadelphia, PA 19131-1239
Phone 732-429-4674
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All 196 Behavior Analyst providers in King Of Prussia · All 1,814 providers in King Of Prussia
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