Most Relevant Information
Provider Data
| NPI Number: | 1003293598 |
| Provider Name: | KAREN JEAN IVERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | BHOO1700 |
Most Important Dates
| Enumeration Date: | 05/04/2015 |
| Last Updated: | 05/04/2015 |
Provider Practice Location
6629 LEBANON AVE
PHILADELPHIA
PA
191513112
Practice Location Phone/Fax
| Phone: | 2672056862 |
| Fax: |
Provider Mailing Location
6629 LEBANON AVE
PHILADELPHIA
PA
191513112
Provider Mailing Phone/Fax
| Phone: | 2672056862 |
| Fax: |