Individual
LESLIE NICOLE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8646 GUION RD, INDIANAPOLIS, IN 46268-3011
(317) 334-7331
Mailing address
5556 N MERIDIAN ST, INDIANAPOLIS, IN 46208-2658
(317) 334-7331
(317) 334-7336
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31988
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020337
—
IN
Enumeration date
10/22/2018
Last updated
12/20/2019
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