Individual
LISA L. KOSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N 6TH ST, HARRISBURG, PA 17102-1703
(717) 233-4027
Mailing address
1602 APPLETREE RD, HARRISBURG, PA 17110-3106
(717) 303-9471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001936
PA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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