Individual
PATRICIA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
154A WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 325-9355
Mailing address
154A WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 325-9355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20742
SC
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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