Lydia Nance, RBT
Behavior Technician in Saint Louis, MO. Individual provider (NPI-1).
NPI number1053900985
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1053900985
- Entity type
- Individual (NPI-1)
- Name
- Lydia Nance
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2021
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-151487 | MO | Yes |
Practice location
9374 Olive Blvd Ste 101Saint Louis, MO 63132-3253
Phone 314-932-2402 · Fax 314-666-9770
Mailing address
9374 Olive Blvd Ste 101Saint Louis, MO 63132-3253
Phone 314-932-2402 · Fax 314-666-9770
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