Individual
MRS. KATRINA KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1829 WINDROW DR, LANCASTER, PA 17602-4163
(717) 391-6720
Mailing address
1829 WINDROW DR, LANCASTER, PA 17602-4163
(717) 391-6720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002136
PA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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