Individual
LANORA RENAE PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
250 S 5TH ST STE 108, NASHVILLE, TN 37206
(877) 315-8080
Mailing address
373 S WILLOW ST STE 233, MANCHESTER, NH 03103-5751
(877) 315-8080
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-07220
TN
Other
Enumeration date
12/11/2017
Last updated
03/17/2018
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