Bracken, Lisa Marie

Bracken, Lisa Marie is an individual health care provider with primary practice located at 209 W Lancaster Ave Ste 100 , Paoli PA 19301-1749. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bracken, Lisa Marie can be contacted via phone (484) 965-9966.

Contact Information

Primary practice address
209 W Lancaster Ave Ste 100 Paoli PA 19301-1749
Phone: (484) 965-9966
Fax: (484) 231-8631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BCBA-1-21-53071 Pennsylvania

Profile Details

NPI number 1114660644
LBN Legal business name Bracken, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2022
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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