Individual
AGATHA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S 3RD ST, WEST MILTON, PA 17886-8034
(570) 412-3937
Mailing address
22 S 3RD ST, WEST MILTON, PA 17886-8034
(570) 412-3937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64904
PA
Other
Enumeration date
01/05/2024
Last updated
01/08/2024
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