Individual
JOHN HEYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2351 FREEDOM WAY, YORK, PA 17402-9282
(717) 600-0900
Mailing address
2351 FREEDOM WAY, YORK, PA 17402-9282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001615
PA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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