Individual
LARA BARNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
5804 WYNDHAM CIR APT 302, COLUMBIA, MD 21044-3182
(360) 531-2973
Mailing address
5804 WYNDHAM CIR APT 302, COLUMBIA, MD 21044-3182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA415
MD
Other
Enumeration date
02/20/2017
Last updated
04/25/2018
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