Individual
MR. JONATHAN LAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1722 W FRONT ST, TYLER, TX 75702-6823
(903) 593-4004
Mailing address
1722 W FRONT ST, TYLER, TX 75702-6823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4263
TX
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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