Individual
JILL NOEL LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
358 INDUSTRIAL PARK RD, EBENSBURG, PA 15931-4116
(814) 322-7099
(181) 453-4093
Mailing address
358 INDUSTRIAL PARK RD, EBENSBURG, PA 15931-4116
(814) 322-7099
(181) 453-4093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-23-65327
PA
Other
Enumeration date
08/29/2014
Last updated
07/18/2023
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