Individual
ALENA KHODUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3615 KENT DR, MECHANICSBURG, PA 17050-2227
(717) 514-4143
Mailing address
3615 KENT DR, MECHANICSBURG, PA 17050-2227
(717) 514-4143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000034
PA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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