Individual
MRS. J-LIN MICHAELA DUROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 WOODWARD AVE, LOCK HAVEN, PA 17745-1623
(570) 435-8180
Mailing address
70 WOODWARD AVE, LOCK HAVEN, PA 17745-1623
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-476843
PA
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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