Individual
NICOLE LOWTHER LENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3142 HEBRON RD, SAINT MARYS, WV 26170-7016
(304) 299-0804
Mailing address
3142 HEBRON RD, SAINT MARYS, WV 26170-7016
(304) 299-0804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
450724
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750724
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
F268296
DRIVERS LICENSE
WV
Enumeration date
02/09/2021
Last updated
02/26/2026
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