Individual
ERIN KETTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 S ELMER AVE, SAYRE, PA 18840-2019
(607) 221-5303
Mailing address
PO BOX 99, NEW ALBANY, PA 18833-0099
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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