Individual
NICOLE LUANN LOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LBS, BCBA
Contact information
Practice address
2501 OREGON PIKE, LANCASTER, PA 17601-4890
(717) 569-1166
Mailing address
121 LANCASTER BLVD, MECHANICSBURG, PA 17055-3548
(717) 736-2236
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005444
PA
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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