Individual
LORRAINE THERESE BURWELL WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, COBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-32881
IN
103K00000X
Behavior Analyst
COBA.00501
OH
103TS0200X
School Psychologist
Primary
00001849
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000031849
SCHOOL PSYCHOLOGIST
IN
01
—
1-18-32881
BCBA CERTIFICATE
—
05
—
300021667
—
IN
Enumeration date
01/02/2019
Last updated
11/18/2025
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