Individual
LAMAR WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 KLOSS DR APT D, LANCASTER, PA 17603-5952
(717) 468-8466
Mailing address
110 KLOSS DR APT D, LANCASTER, PA 17603-5952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001654
PA
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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