Individual
LORI LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
422 BLOOMING GROVE TPKE, NEW WINDSOR, NY 12553-7805
(845) 863-9123
Mailing address
422 BLOOMING GROVE TPKE, NEW WINDSOR, NY 12553-7805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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