Lori Lynn Roth

NPI #1518448182 in Bellingham, Washington

Provider Information

NPI Number: 1518448182
Entity Type: Individual
Name: Lori Lynn Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 22, 2018
Last Updated: Aug 22, 2018

Practice Location

Address: 1616 CORNWALL AVE STE 100
City: Bellingham
State: Washington
ZIP Code: 98225-4642
Phone: (360) 305-3275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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