Individual
GENTIL KALISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBS
Contact information
Practice address
1848 CHARTER LN STE 103, LANCASTER, PA 17601-5896
(717) 280-6460
Mailing address
1848 CHARTER LN STE 103, LANCASTER, PA 17601-5896
(717) 280-6460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008213
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32272716
DL
PA
Enumeration date
01/05/2026
Last updated
01/05/2026
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