Individual
MISS KELLY TABLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 QUARRY RD, CHAMBERSBURG, PA 17202-9099
(717) 360-0679
Mailing address
112 QUARRY RD, CHAMBERSBURG, PA 17202-9099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001672
PA
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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