Individual
DEVANN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
5351C JAYCEE AVE, HARRISBURG, PA 17112-2997
(717) 657-2080
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
(717) 632-3657
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004148
PA
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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