Individual
MAUREEN HAYNES WENTLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA, BSL
Contact information
Practice address
2609 SPRING VALLEY RD, LANCASTER, PA 17601-1966
(717) 715-9696
Mailing address
2609 SPRING VALLEY RD, LANCASTER, PA 17601-1966
(717) 715-9696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001218
PA
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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