Individual
LORA TEVIS HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1721 BENWOOD DR, LEXINGTON, KY 40505-4019
(859) 436-5934
Mailing address
1721 BENWOOD DR, LEXINGTON, KY 40505-4019
(859) 436-5934
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45537
KY
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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