Individual
LASHAWNDA WAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 LINDEN AVE, SOUTH BEND, IN 46628-2223
(574) 288-7313
Mailing address
1514 KELLER ST, SOUTH BEND, IN 46628-3245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/30/2025
Last updated
07/22/2025
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