Individual
MR. KEVIN M MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
600 LYTLE ST, MINERSVILLE, PA 17954-1813
(570) 622-6417
(570) 622-3230
Mailing address
600 LYTLE ST, MINERSVILLE, PA 17954-1813
(570) 622-6417
(570) 622-3230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6458
PA
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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