Individual
ALEXANDRA GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
625 COMMUNITY WAY, LANCASTER, PA 17603-2301
(570) 593-5484
Mailing address
150 CHAMBERLAINE AVE, POTTSVILLE, PA 17901-8648
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007597
PA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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