Individual
LYNETTE EILEEN ROBLES-MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 HONEYSUCKLE RD STE 6, DOTHAN, AL 36305-1168
(334) 792-5020
Mailing address
256 HONEYSUCKLE RD STE 6, DOTHAN, AL 36305-1168
(334) 792-5020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-107439
19-107439
AL
Enumeration date
08/02/2020
Last updated
08/02/2020
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