Lydia J White
Behavior Technician in Edmond, OK. Individual provider (NPI-1).
NPI number1265282974
StatusActive
Last updated in NPPESMar 25, 2024
Details
- NPI
- 1265282974
- Entity type
- Individual (NPI-1)
- Name
- Lydia J White
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2024
- Certification date
- Mar 25, 2024
- Last updated
- Mar 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
64 E 33rd StEdmond, OK 73013-4603
Phone 405-417-4422
Mailing address
109 Ashley DrEdmond, OK 73003-5270
Phone 405-328-3228
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