Individual
GARY LOIACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 WYOMING AVE, KINGSTON, PA 18704-4002
(570) 846-0455
Mailing address
1 WILKERN ST, EXETER, PA 18643-1732
(570) 762-5199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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