Individual
DIANNE E LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
16331 HERITAGE PLACE, SUITE 101, EAGLE RIVER, AK 99577
(907) 350-8893
Mailing address
9529 NOAK CIRCLE, EAGLE RIVER, AK 99577
(907) 350-8893
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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