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Individual
FORRESTE ELIZABETH LOMBARD
Active
Individual
FORRESTE ELIZABETH LOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
146.0134115
VT
103K00000X
Behavior Analyst
Primary
2710
MA
Other
Enumeration date
03/30/2018
Last updated
09/06/2019
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