Most Relevant Information
Provider Data
| NPI Number: | 1003552662 |
| Provider Name: | DEIRA DAYONNA ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2022 |
| Last Updated: | 06/20/2022 |
Provider Practice Location
201 KING OF PRUSSIA RD STE 650
RADNOR
PA
190875156
Practice Location Phone/Fax
| Phone: | 2158536682 |
| Fax: | 8555686682 |
Provider Mailing Location
201 KING OF PRUSSIA RD STE 650
RADNOR
PA
190875156
Provider Mailing Phone/Fax
| Phone: | 2158536682 |
| Fax: | 8555682494 |