Individual
CARLEIGH E WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBS
Contact information
Practice address
1500 E BRANCH RD STE 200, STATE COLLEGE, PA 16801-6921
(814) 380-9180
Mailing address
1500 E BRANCH RD STE 200, STATE COLLEGE, PA 16801-6921
(814) 380-9180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006242
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038509600003
—
PA
Enumeration date
12/05/2022
Last updated
12/05/2022
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