Individual
KENDRA LYONS-STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 RED MAPLE DR, PHENIX CITY, AL 36869-3493
(305) 763-1216
Mailing address
2100 OXNARD ST, STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
520-510-87-889-0
FL
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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