Individual
DESTINY TRISTEN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1300 GROVE RD, LYNCHBURG, VA 24502-2928
(540) 242-5365
Mailing address
1300 GROVE RD, LYNCHBURG, VA 24502-2928
(540) 242-5365
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-278633
VA
Other
Enumeration date
06/14/2023
Last updated
07/06/2023
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