Individual
LYANN LAVERGNE OHLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 JESSIE LN, NAMPA, ID 83686-8863
(760) 455-1985
Mailing address
4025 JESSIE LN, NAMPA, ID 83686-8863
(760) 455-1985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/20/2023
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