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Individual

ASHLEE MIKLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 N CAMERON ST, SUITE 401W, HARRISBURG, PA 17101-2424
(717) 236-7357
(717) 236-2204
Mailing address
100 N CAMERON ST, SUITE 401W, HARRISBURG, PA 17101-2424
(717) 236-7357
(717) 236-2204

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002038
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH002038
BEHAVIOR SPECIALIST LICENSE
PA
Enumeration date
09/22/2014
Last updated
09/22/2014
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