Individual
ELIZABETH LOHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1616 VETERANS AVE, VANDALIA, IL 62471-3317
(618) 698-0734
(618) 551-4525
Mailing address
1616 VETERANS AVE, VANDALIA, IL 62471-3317
(618) 698-0734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35044
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022009550
LBA
MO
Enumeration date
04/15/2019
Last updated
03/18/2022
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