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Individual
KIM LORI RENNER
Active
Individual
KIM LORI RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LLP
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2410
OH
103K00000X
Behavior Analyst
COBA.35
OH
103T00000X
Psychologist
6301011821
MI
Other
Enumeration date
04/08/2020
Last updated
07/30/2020
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