Individual
TERESA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 FRONT AVE, SALEM, VA 24153-6142
(540) 420-3481
(855) 212-9096
Mailing address
416 FRONT AVE, SALEM, VA 24153-6142
(540) 420-3481
(855) 212-9096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000335
VA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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