Individual
PAUL JOSEPH RETALLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LBS
Contact information
Practice address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
(717) 560-6542
Mailing address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
(717) 560-6542
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005128
PA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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