Individual
LORI RENEE FROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LBS, BCBA
Contact information
Practice address
276 TROY RD, DALLASTOWN, PA 17313-9743
(443) 866-3383
Mailing address
276 TROY RD, DALLASTOWN, PA 17313-9743
(443) 866-3383
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005928
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15726862
CAQH ID
—
01
—
BH005928
STATE LICENSE
PA
Enumeration date
05/10/2022
Last updated
02/21/2023
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