Individual
LORI VITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 BENTLEY PLZ, FENTON, MO 63026-2123
(844) 743-6506
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(844) 743-6506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
07/20/2023
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