Individual
HOWARD A SHACKLOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
131 MARKET ST, ACRP INC, JOHNSTOWN, PA 15901-1628
(814) 361-2414
Mailing address
131 MARKET ST, ACRP INC, JOHNSTOWN, PA 15901-1628
(814) 361-2414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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