Individual
LYDIA ANN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10475 CROSSPOINT BLD, SUITE 250, INDIANAPOLIS, IN 46256
(419) 296-1342
Mailing address
1909 ANN WAY, LIMA, OH 45805
(419) 296-1432
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/14/2022
Last updated
10/03/2024
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