Individual
MRS. JENNIFER DIANE CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
302 WEST ORANGE STREET, LANCASTER, PA 17603-3749
(717) 392-8848
(717) 397-5290
Mailing address
915 LITITZ AVE, LANCASTER, PA 17602-1918
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/29/2009
Last updated
08/19/2021
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