Individual
MRS. LORI BYRD WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2601 BRANSFORD AVE, NASHVILLE, TN 37204-2811
(615) 259-4636
Mailing address
2601 BRANSFORD AVE, NASHVILLE, TN 37204-2811
(615) 259-4636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22784
IL
Other
Enumeration date
07/07/2016
Last updated
03/16/2022
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