Individual
LORI SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2948 HILLSIDE RD, BROOMALL, PA 19008-1303
(484) 904-2004
Mailing address
2948 HILLSIDE RD, BROOMALL, PA 19008-1303
(484) 904-2004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17344
PA
Other
Enumeration date
07/08/2015
Last updated
10/22/2024
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