Gansworth, Kerry Rae

Gansworth, Kerry Rae is an individual health care provider with primary practice located at 301 E City Ave Ste 210 , Bala Cynwyd PA 19004-1734. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gansworth, Kerry Rae can be contacted via phone (856) 827-7630.

Contact Information

Primary practice address
301 E City Ave Ste 210 Bala Cynwyd PA 19004-1734
Phone: (856) 827-7630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-50026 Pennsylvania

Profile Details

NPI number 1679297006
LBN Legal business name Gansworth, Kerry Rae
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2022
Last updated Sep 29th, 2022 - about 2 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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