Individual
JEANINE WEICHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
296 W RIDGE PIKE, SUITE 205, LIMERICK, PA 19468-1790
(610) 831-1865
(877) 891-3208
Mailing address
1321 MURFRESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 695-2277
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001652
PA
Other
Enumeration date
04/03/2014
Last updated
09/18/2018
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