Individual
SHANE GEMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 E MARKET ST, YORK, PA 17402-2623
(717) 980-1537
Mailing address
3421 E MARKET ST, YORK, PA 17402-2623
(717) 980-1537
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006211
PA
106S00000X
Behavior Technician
RBT-18-50517
PA
Other
Enumeration date
06/11/2019
Last updated
11/11/2022
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