Individual
MRS. MARY J VESLOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1122 WYOMING AVE, EXETER, PA 18643-1918
(570) 655-1667
(570) 602-4100
Mailing address
1122 WYOMING AVE, EXETER, PA 18643-1918
(570) 655-1667
(570) 602-4100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4559
PA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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