Individual
MS. LISA SCHRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
3913 TRASK AVE, ERIE, PA 16508-3135
(814) 490-0720
Mailing address
3913 TRASK AVE, ERIE, PA 16508-3135
(814) 490-0720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002793
PA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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