Individual
LARA ELIZABETH BEIGHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, BCABA
Contact information
Practice address
2107 CAMELLIA ST, DENTON, TX 76205-7424
(210) 413-8705
Mailing address
128 WASHINGTON SQ, WASHINGTON, IL 61571-2657
(800) 773-1682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5391
—
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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