Individual
ELIZABETH R LORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA-D
Contact information
Practice address
6836 ISAAC'S ORCHARD RD, SPRINGDALE, AR 72762-7096
(479) 927-4100
(479) 927-4101
Mailing address
6836 ISAAC'S ORCHARD RD, SPRINGDALE, AR 72762-7096
(479) 927-4100
(479) 927-4101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7545
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205388706
—
AR
Enumeration date
10/30/2019
Last updated
10/30/2019
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