Individual
JESSICA FRANCES MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
7500 ALLENTOWN BLVD UNIT 5, HARRISBURG, PA 17112-4233
(717) 421-5806
Mailing address
19 N UNION ST APT 2, MIDDLETOWN, PA 17057-1431
(717) 421-5806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43175
PA
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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