Individual
JILL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
4 LANDMARK CTR, EAST STROUDSBURG, PA 18301-8201
(570) 620-7603
Mailing address
4 LANDMARK CTR, EAST STROUDSBURG, PA 18301-8201
(570) 632-0760
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000606
PA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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