Individual
JACQUELYN PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 BINGHAM ST, PITTSBURGH, PA 15203-1101
(412) 235-5494
Mailing address
308 SKYLARK DR, CORAOPOLIS, PA 15108-8926
(724) 554-6274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40602
PA
Other
Enumeration date
09/21/2021
Last updated
02/14/2025
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