Individual
TODD SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., B.S.L.
Contact information
Practice address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 273-8871
Mailing address
283 BUTLER RD, PO BOX 550, MOUNT GRETNA, PA 17064-6085
(717) 273-8871
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000705
PA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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