Individual
MS. LARA ELIZABETH HIMROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 WALNUT STREET, M, MARTINS FERRY, OH 43935
(740) 609-5072
(740) 609-5073
Mailing address
611 WALNUT STREET, PO BOX 244, MARTINS FERRY, OH 43935
(740) 609-5072
(740) 609-5073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA12045621
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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