Individual
DONNA REBECCA LYDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, COBA, LBA
Contact information
Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(866) 523-4268
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-9541
BCBA CERTIFICATE
—
01
—
7401001073
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
01
—
COBA.116
OHIO BOARD OF PSYCHOLOGY
OH
Enumeration date
11/10/2014
Last updated
10/31/2023
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