Individual
LYDIA NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
9374 OLIVE BLVD STE 101, SAINT LOUIS, MO 63132-3253
(314) 932-2402
(314) 666-9770
Mailing address
9374 OLIVE BLVD STE 101, SAINT LOUIS, MO 63132-3253
(314) 932-2402
(314) 666-9770
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-151487
MO
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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