Individual
COURTNEY LOHRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
(520) 485-8846
Mailing address
3406 N 38TH ST APT 1, PHOENIX, AZ 85018-5832
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
474
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11833810
BCBA
—
01
—
BEH000474
LBA
AZ
Enumeration date
05/11/2020
Last updated
05/11/2020
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