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Individual

DR. NYLA CLAIRE LAMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW.ED.D BCBA-D LBA

Contact information

Practice address
4150 ALDRICH LN, LAUREL, NY 11948-1017
(631) 298-7195
(631) 298-7195
Mailing address
4150 ALDRICH LN, LAUREL, NY 11948-1017
(631) 298-7195
(631) 298-7195

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000849
NY
1041C0700X
Clinical Social Worker
034492-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-09-6594
BEHAVIOR ANALYST CERTIFICATION BOARD
NY
Enumeration date
05/28/2008
Last updated
11/10/2016
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