Individual
GERALD EVERETTE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 N 2ND ST, WORMLEYSBURG, PA 17043-1104
(844) 588-4222
(717) 775-3443
Mailing address
325 N 2ND ST, WORMLEYSBURG, PA 17043-1104
(844) 588-4222
(717) 775-3443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
04/19/2021
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