Individual
LYDIA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2014 LINCOLNWAY E STE 3, GOSHEN, IN 46526-6818
(239) 920-3948
Mailing address
8237 VICELA DR, SARASOTA, FL 34240-1462
(260) 241-5796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59510
IN
Other
Enumeration date
05/11/2022
Last updated
02/03/2026
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