Individual
LYDIA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 PARAGON PL STE 237, RICHMOND, VA 23230-1651
(804) 562-9997
Mailing address
4213 OLDE LIBERTY RD, NORTH CHESTERFIELD, VA 23236-4708
(804) 475-3430
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000273
VA
Other
Enumeration date
03/07/2021
Last updated
04/11/2025
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