Individual
DR. LORI DEMELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
477 HOLLY DRIVE, WARNER ROBINS, GA 31098
(706) 267-6731
Mailing address
477 HOLLY DRIVE, WARNER ROBINS, GA 31098
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20722
CO
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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