Individual
MICHAEL RADKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N 7TH ST, LEBANON, PA 17046-5040
(717) 274-9682
Mailing address
200 N 7TH ST, LEBANON, PA 17046-5040
(717) 272-5464
(717) 376-1712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007122
PA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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