Individual
MRS. JILL LYNN WALCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED. BCBA LBS
Contact information
Practice address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 945-4359
Mailing address
PO BOX 550, MOUNT GRETNA, PA 17064-0550
(717) 945-4359
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004722
PA
Other
Enumeration date
08/15/2012
Last updated
09/29/2020
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