Individual
MS. LORI ANN CHIDESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
170 E SPRING VALLEY RD, CENTERVILLE, OH 45458-3803
(859) 866-0892
Mailing address
834 BAY COLT LN, UNION, KY 41091-8020
(513) 861-0300
(513) 861-0301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003-1034
OH
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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