Individual
GARY MILTON CRAIGHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
1011 REED AVE, SUITE 900, WYOMISSING, PA 19610-2002
(610) 939-9999
Mailing address
1011 REED AVE, SUITE 900, WYOMISSING, PA 19610-2002
(610) 939-9999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001405
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH001405
BEHAVIOR SPECIALIST
PA
Enumeration date
05/27/2014
Last updated
05/27/2014
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