Individual
ROSALIE LACHELLE LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 BROADUS ST STE B, STURGIS, MI 49091-2403
(833) 624-6385
Mailing address
116 W SHERMAN WAY STE 1, NIXA, MO 65714-9022
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2022036295
MO
106S00000X
Behavior Technician
RBT-21-179295
MO
Other
Enumeration date
08/16/2021
Last updated
08/25/2025
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