Individual
CAROLYN WITROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1991 NORTHHAMPTON STREET, EASTON, PA 18042-3173
(888) 726-4774
Mailing address
1991 NORTHHAMPTON STREET, EASTON, PA 18042-3173
(888) 726-4774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006321
PA
106S00000X
Behavior Technician
RBT-20-131552
PA
Other
Enumeration date
07/08/2021
Last updated
04/04/2023
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