Individual
CARLEIGH LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 PROUTY DR STE 2, NEWPORT, VT 05855-9455
(605) 254-3676
Mailing address
212 PROUTY DR STE 2, NEWPORT, VT 05855-9455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
044-ABA
SD
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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