Lisanne Jenel Padmore

NPI #1053970269 in Fredericksburg, Virginia

Provider Information

NPI Number: 1053970269
Entity Type: Individual
Name: Lisanne Jenel Padmore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 11, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 1411 PRINCESS ANNE ST
City: Fredericksburg
State: Virginia
ZIP Code: 22401-3832
Phone: (540) 922-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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