Individual
NICHOLAS ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
125 GERHART AVE, EPHRATA, PA 17522-2309
(717) 940-4609
Mailing address
125 GERHART AVE, EPHRATA, PA 17522-2309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002500
PA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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