Individual
KELLY BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, BCBA
Contact information
Practice address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 405-5588
Mailing address
PO BOX 550, MOUNT GRETNA, PA 17064-0550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-37637
PA
104100000X
Social Worker
Primary
SW132579
PA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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