Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | BH002670 | PA |
NPI | 1003290784 |
---|---|
Provider Name | Dr. David R. Feeney |
First Address | Langhorne, PA 19047-3145 |
Second Address | Langhorne, PA 19047-3145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2015 |
Last Update Date | 13/07/2015 |