Individual
MINDY SUE DITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS, MA
Contact information
Practice address
1886 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 735-1920
Mailing address
1886 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 735-1920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004453
PA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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