Provider Demographics
NPI:1760880736
Name:BUDZINA, BECKY J (LPC, BSL, NCC)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:J
Last Name:BUDZINA
Suffix:
Gender:F
Credentials:LPC, BSL, NCC
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:J
Other - Last Name:WALK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSC
Mailing Address - Street 1:526 KINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-2231
Mailing Address - Country:US
Mailing Address - Phone:814-441-3293
Mailing Address - Fax:
Practice Address - Street 1:526 KINGSTON RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2231
Practice Address - Country:US
Practice Address - Phone:814-441-3293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002113103K00000X
PAPC012288101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst