Individual
ASHLEY RENEE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 US-11, SHAMOKIN DAM, PA 17876-9116
(888) 726-4774
(570) 362-5112
Mailing address
136 N 11TH ST, SUNBURY, PA 17801-2444
(717) 884-5206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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