Individual
JUSTINE LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
788 E 182ND ST, BRONX, NY 10460-1119
(646) 724-7293
Mailing address
788 E 182ND ST APT 2E, BRONX, NY 10460-1121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NY
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
09/19/2025
Last updated
10/03/2025
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