Individual
NISSY CAROLINA LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 PIN OAK COURT, MECHANICSBURG, PA 17050
(508) 963-3294
Mailing address
109 PIN OAK COURT, MECHANICSBURG, PA 17050
(508) 963-3294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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