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Individual

TIMOTHY KANAGY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LBS

Contact information

Practice address
21 E MAIN ST, RAILROAD, PA 17355-9727
(717) 375-4834
Mailing address
21 E MAIN ST, RAILROAD, PA 17355-9727

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005821
PA

Other

Enumeration date
03/09/2022
Last updated
03/09/2022
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