Individual
ERIN RENEE NIEDZWIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1561 RIVERSIDE DR, SOUTH WILLIAMSPORT, PA 17702-7038
(570) 447-3262
Mailing address
1561 RIVERSIDE DR, SOUTH WILLIAMSPORT, PA 17702-7038
(570) 447-3262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
347933
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347933
REGISTERED BEHAVIOR TECHNICIAN
PA
Enumeration date
04/18/2017
Last updated
04/18/2017
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