Individual
MARK BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSL
Contact information
Practice address
1990 W 3RD ST, WILLIAMSPORT, PA 17701-7808
(570) 320-2816
Mailing address
1990 W 3RD ST, WILLIAMSPORT, PA 17701-7808
(570) 320-2816
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001586
PA
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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