Individual
EMILY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
1630 MANHEIM PIKE STE 2, LANCASTER, PA 17601-3064
(717) 945-6491
Mailing address
2308 BOB WHITE LN, LANCASTER, PA 17601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004921
PA
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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