Individual
LORIANN SAMANTHA DEMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
1815 FOREST HILL BLVD, LAKE CLARKE SHORES, FL 33406
(561) 360-3169
Mailing address
1815 FOREST HILL BLVD, LAKE CLARKE SHORES, FL 33406-6021
(561) 360-3169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0145945
FL
106E00000X
Assistant Behavior Analyst
Primary
0-14-5945
FL
Other
Enumeration date
04/30/2015
Last updated
10/17/2019
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