Individual
LYDIA MARIE LOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
54 LEGENDS PARKWAY, SUITE 157, EUREKA, MO 63025
(636) 252-4464
Mailing address
100 LAKE VIEW RDG, WASHINGTON, MO 63090-5388
(636) 432-8608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024039264
MO
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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