Lysa West, RBT

NPI #1164185153 in Woodstock, Georgia

Provider Information

NPI Number
1164185153
Entity Type
Individual
Name
Lysa West, RBT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
RBT
Enumeration Date
Oct 18, 2021
Last Updated
Oct 18, 2021

Practice Location

Address
3338 TRICKUM RD
State
Georgia
ZIP Code
30188-4242
Phone
(470) 472-0039

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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