Healthcare Provider Details
I. General information
NPI: 1669909628
Provider Name (Legal Business Name): MONICA DROWOS M.A., BCBA, LBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/20/2017
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1810 COUNTY LINE RD
HUNTINGDON VALLEY PA
19006-1720
US
IV. Provider business mailing address
4508 CAPTIVA LN
BRADENTON FL
34203-3147
US
V. Phone/Fax
- Phone: 267-388-0670
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-17-28085 |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-17-33821 |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: