Individual
KATELYN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 MANHEIM PIKE STE 2, LANCASTER, PA 17601-3064
(717) 945-6491
(717) 945-5268
Mailing address
1630 MANHEIM PIKE STE 2, LANCASTER, PA 17601-3064
(717) 945-6491
(717) 945-5268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44709
PA
103K00000X
Behavior Analyst
BH005101
PA
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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