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Individual

ERIK JOEL VELASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
45 STATE ROUTE 11 HIGHWAY, SHAMOKIN DAM, PA 17876
(570) 931-3849
Mailing address
654 DUKE ST, NORTHUMBERLAND, PA 17857-1713
(908) 768-5636

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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