Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | BH001477 | PA |
NPI | 1013344316 |
---|---|
Provider Name | Patricia Mchenry |
First Address | Mountville, PA 17554-1232 |
Second Address | Harrisburg, PA 17110-9763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2013 |
Last Update Date | 12/07/2016 |