Individual
LYDIA RENEE BEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
45 RT 11, SHAMOKIN DAM, PA 17876
(570) 802-3099
Mailing address
326 6TH ST, NORTHUMBERLAND, PA 17857-1422
(443) 299-8816
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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