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Lilian Stidham, RBT

Behavior Technician in Columbus, IN. Individual provider (NPI-1).

NPI number1164215422
StatusActive
Last updated in NPPESMay 28, 2025

Details

NPI
1164215422
Entity type
Individual (NPI-1)
Name
Lilian Stidham
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2025
Certification date
May 28, 2025
Last updated
May 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-25-423696INYes

Practice location

2600 Sandcrest Blvd
Columbus, IN 47203-3053

Phone 812-413-9321 · Fax 812-413-9323

Mailing address

2600 Sandcrest Blvd
Columbus, IN 47203-3053

Phone 812-413-9321 · Fax 812-413-9323

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