Provider Demographics
NPI:1871966754
Name:FRANCHOCK, LINDA (BCBA)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:FRANCHOCK
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:PORT MATILDA
Mailing Address - State:PA
Mailing Address - Zip Code:16870-7901
Mailing Address - Country:US
Mailing Address - Phone:814-404-5198
Mailing Address - Fax:
Practice Address - Street 1:546 SMITH RD
Practice Address - Street 2:
Practice Address - City:PORT MATILDA
Practice Address - State:PA
Practice Address - Zip Code:16870-7901
Practice Address - Country:US
Practice Address - Phone:814-404-5198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1 10 7167103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst