Individual
ASHLEY LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 S RIVERDALE DR, APPLETON, WI 54914-4817
(715) 584-1823
Mailing address
1314 S RIVERDALE DR, APPLETON, WI 54914-4817
(715) 584-1823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106-140
WI
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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